Insured Patients:

Hospital will bill guarantor for insurance imposed deductible, co-pay, coinsurance or Insurance deemed patient responsibility for a period of 120 days – a minimum of three (3) billing statements will be sent. At times hospital or third party agent will also perform telephone contact regarding balances due. At or after 120 days of billing period without a payment received, the account will be reviewed for referral to an outside collection agency.

Uninsured / Underinsured Patients, or Unidentified Insurance Coverage

Hospital will bill guarantor as follows:

For a period of 120 days – a minimum of three (3) billing statements will be sent. At times hospital or third party agent will also perform telephone contact regarding balances due. At or after 120 days of billing period without a payment received, the account will be reviewed for referral to an outside collection agency.

For uninsured/underinsured patients who are eligible for Financial Assistance, you will not be charged more than “Amount Generally Billed” (AGB) to insured individuals for emergency or other medically necessary care.

Hospital utilizes the Prospective Medicare method of calculating financial responsibility for Financial Assistance/Charity Care approved individuals.

If patient needs to discuss their hospital bill, or would like to request a Financial Assistance/Charity Care Application, they are to contact Patient Financial Services Department at 631.654.7140.

Regarding Self Pay Account balances:

Prior to referring accounts to outside collection agency – hospital will check for guarantor income and establish a Propensity to Pay Scale to try to establish eligibility for Financial Assistance. (providing guarantor has not already applied for the same account).

Collection Policy:

Referral to Collection agency – could include: Credit Reporting, Legal Liens, Salary Garnishments.