Frequently Asked Questions


The bills you receive for your medical care can sometimes be confusing. We understand that the billing process may cause unnecessary stress. That’s why we have these Frequently Asked Questions (FAQs)

These FAQs should help answer any questions you may have regarding payment for Tapion Hospital services. If however, after reading through the questions, you have other questions or concerns, please call our Patient Administration Department, 9 a.m. - 4.30 p.m., Monday through Friday at 758 459 2000.We're always happy to be of assistance.



Billing

Who can I talk to about questions or problems with my bill?
What services does my hospital bill include?
How may I pay my bill?
I received a bill from a doctor I did not see why?
Why do I have more than one bill?

Insurance

What insurance information should I bring upon my visit to the hospital as an in patient?
How will I know if my insurance company has paid my bill?
Do I need to let my insurance company know that I am going to be in the hospital?
Will you bill my insurance company for me?
Will I be required to pay anything when I arrive at the hospital?
What costs will my insurance company cover?

Financial Assistance

If I can’t afford to pay for services, is there a repayment program available?


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Billing

Who can I talk to about questions or problems with my bill?
Patient Administration Department representatives are glad to help you over the phone with any questions or concerns you may have about your bill. Hours of operation: 9 a.m. - 4.30 p.m. Telephone: 758 459 2000.

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What services does my hospital bill include?
Your hospital bill includes your daily room service, nursing care, meals, housekeeping, linen and other support services. Additional charges include services ordered by your physician, such as X-rays, Laboratory tests, medical supplies and therapeutic services.

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How may I pay my bill?
You may pay your estimated bill in full on admission, and the balance on the final bill on discharge directly to our hospital cashiers. We accept American Express, Discover, MasterCard, and Visa, cash, credit or money order. In the event you have been overcharged, a refund by way of a cheque in settlement will be paid the first Thursday after discharge. Refunds for Credit Cards will be arranged through our bankers the following day of discharge.

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I received a bill from a doctor I did not see why?
Sometimes your doctor orders laboratory testing; X-rays and other imaging services in order to determine a diagnosis. These tests are sent to physician specialists for analysis and opinions, and you may not see these doctors. You will receive a bill directly from these physicians for the studies. Should you have any questions about the physicians’ bills, please contact their offices directly.

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What if I get more than one bill?
You may receive more than one bill from the same hospital in addition to the bill from Medical Associates Ltd, you may also get bills from your doctor, as well as other physicians or as well as other consulting physicians or other health care professionals not employed by Medical Associates Ltd. These physicians bill separately for their services, should you have any questions about the physicians: please contact their offices directly.

 

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Insurance

What insurance information should I bring upon my visit to the hospital as an in patient?
Please bring your insurance card to your visit. If you have any secondary insurance information, it is important to provide this information as well upon registration.

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How will I know if my insurance company has paid my bill?
You should receive an explanation of benefits from your insurance carrier outlining how your claim was handled, including amount of payment, patient responsibility and/or denials. If there is a balance due from you, we will contact you immediately

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Do I need to let my insurance company know I am going to be in the hospital?
We encourage you to check with your insurance provider prior to your hospital visit. Some insurance carriers require pre- authorization or referral forms prior to the day of surgery or tests. It is the patient’s responsibility to know whether or not they need to obtain pre-authorization or referral for their surgery or tests. Some insurance providers will not pay for certain services, unless the service is pre-authorized.

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Will you bill my insurance company for me?
Yes, we will bill your insurance company for you; however you are responsible for paying any deductible, co-payment, or coinsurance amounts specified under the schedule of benefits of your insurance coverage. Payment of these amounts will be requested at the time of service.

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Will I require to pay anything when I arrive at the hospital?
You will be required to pay any difference, if any, between your verified insurance benefits and the estimated charges for your stay or procedure. This includes any deductible, co-payment, or coinsurance amounts as specified under the schedule of benefits of your insurance coverage.

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What costs will my insurance company cover?
Coverage varies with each insurance company. Please contact your insurance company to obtain coverage information specific to your policy.

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Financial Assistance

If I can’t afford to pay for services, is there a repayment program available?
Yes, we do provide an affordable repayment program prior to admission in special cases, at an interest cost to be determined over a reasonable time frame. Please contact the Hospital Executive to make such arrangements. We are also linked and partnered with FICS, a financial company for St. Lucians who need financial assistance.

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