Paul Sanchez
St. Elizabeth's Medical Center is a part of the BMC Health System, which includes Boston Medical Center and Good Samaritan. The center provides care for a wide range of specialties, including behavioral health and advanced cardiac surgery. While St. Elizabeth's Medical Center accepts most standard insurance plans, it is always recommended that patients verify their insurance coverage before seeking treatment. This can be done by contacting the insurance provider directly or by referring to the insurance plan's list of in-network hospitals. Additionally, St. Elizabeth's offers financial assistance programs for individuals and families who are uninsured or have difficulty paying their medical bills.
| Characteristics | Values |
|---|---|
| St. Elizabeth's Medical Center's approach to insurance | St. Elizabeth's Medical Center is committed to price transparency and empowering patients to understand their healthcare costs |
| Insurance plans accepted by St. Elizabeth's Medical Center | St. Elizabeth's Medical Center accepts a variety of health insurance types from many carriers. However, it is recommended to verify with your insurance provider before receiving any services |
| Financial assistance | St. Elizabeth's Medical Center offers financial assistance to those in need. Eligibility is based on family size and current income |
| Billing process | The Online Business Office provides information about the hospital's billing process and financial resources |
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What You'll Learn
St. Elizabeth's Medical Center's insurance coverage
St. Elizabeth's Medical Center works with a variety of insurance companies and plans to ensure that patients can access affordable healthcare. While St. Elizabeth's works with many insurance providers, it is always recommended that patients contact their insurance company prior to their appointment to verify their coverage. This is because insurance plans and coverage can change frequently.
St. Elizabeth's Physicians participate with most insurance companies, including Medicare and Medicaid. They also offer financial assistance to those in need, with eligibility based on family size and current income. Their Financial Hardship Program is designed for individuals and families who are uninsured or who have a remaining balance after their insurance has processed a claim.
St. Elizabeth Community Hospital, part of Dignity Health, is committed to price transparency and helping patients understand their healthcare costs. They offer a cost estimator tool to help patients estimate their out-of-pocket costs for care, although this only provides a partial estimate. They also provide a list of standard charges for medical services, although these charges do not reflect the price a patient would pay and are adjusted based on insurance coverage and financial assistance.
St. Elizabeth Hospital, part of Virginia Mason Franciscan Health, is included in a wide selection of health insurance plans. However, as mentioned, patients with Kaiser Permanente insurance may have limited access to Virginia Mason Franciscan Health services depending on where they live.
Mercy Health — St. Elizabeth Youngstown Hospital also accepts a variety of health insurance types and plans to serve its communities.
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Billing and insurance plans
St. Elizabeth's Medical Center works with a variety of insurance carriers to ensure its services are accessible to its communities. However, it is always recommended that you check with your insurance company for current information on coverage and participation.
St. Elizabeth's Medical Center is part of the BMC Health System, which includes Boston Medical Center and Good Samaritan. As such, it is included in a wide selection of health insurance plans.
St. Elizabeth Physicians participate with most insurance companies, Medicare, and Medicaid. They also offer financial assistance to those in need, with eligibility based on family size and current income. Their Financial Hardship Program is designed for individuals and families who are uninsured or have a remaining balance after their insurance has processed a claim.
If you have questions about your bill, you can call St. Elizabeth's toll-free at (888) 488-7667. They also have an Online Business Office that provides information about the hospital billing process and financial resources available to patients.
It is important to note that St. Elizabeth's collects payment for any out-of-pocket expenses when possible, and you may be asked to make payment arrangements in advance. Additionally, some procedures may require you to pay a deposit or pay for the service in full prior to your care.
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Financial assistance and affordability
St. Elizabeth's Medical Center is committed to providing financial assistance and affordable care to its patients. While specific insurance plans accepted by the center may vary over time, St. Elizabeth's works with a wide range of insurance providers and offers financial support programs to help patients manage their medical expenses.
Firstly, St. Elizabeth's Physicians participate with most insurance companies, including Medicare and Medicaid. It is important to verify your coverage with your insurance provider before your visit to ensure that you are covered for the services provided by the center. You can also contact St. Elizabeth's directly to understand the billing process and explore the financial resources available to you.
For those facing financial hardship, St. Elizabeth's offers a Financial Hardship Program. This program assists individuals and families with outstanding balances after insurance claims have been processed or those who are uninsured. Eligibility is based on family size and current income, and the program aims to ensure that all individuals can access necessary medical care, regardless of their ability to pay. If eligible, the program can provide substantial relief from physician bills.
Additionally, St. Elizabeth's is dedicated to price transparency and empowering patients to understand their healthcare costs. They provide a cost estimator tool on their website, which helps patients estimate their out-of-pocket expenses for over 300 common medical services and procedures. This tool enables patients to make informed decisions about their care and plan their financial obligations accordingly.
St. Elizabeth's also offers assistance to uninsured patients, helping them apply for government or private insurance. They provide information about the billing process and financial resources through their Online Business Office, ensuring that patients can access the support they need to manage their medical expenses.
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Accepted insurance providers
St. Elizabeth's Medical Center works with many insurance providers and health insurance plans. However, it is always recommended that you check with your insurance company for current information on coverage and participation of the provider.
St. Elizabeth's Physicians participate with most insurance companies, Medicare, and Medicaid. They also offer financial assistance to those in need, based on family size and current income. Their Financial Hardship Program is designed for individuals and families who are uninsured or have a remaining balance after their insurance has processed a claim.
St. Elizabeth Community Hospital, part of Dignity Health, is committed to price transparency and helping patients make informed decisions about their care. They offer a cost estimator tool to help patients understand their out-of-pocket costs for care, although it only provides a partial estimate. They also offer one of the most generous financial assistance policies in the nation, with free and discounted care for families in need.
Virginia Mason Franciscan Health's St. Elizabeth Hospital is included in a wide selection of health insurance plans, although they note that plan coverage is frequently updated. They participate in Kaiser Permanente plans, but patients' access to Virginia Mason Franciscan Health services may be limited depending on where they live.
Mercy Health — St. Elizabeth Youngstown Hospital accepts a variety of health insurance types from many carriers.
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Emergency care and out-of-network billing
St. Elizabeth Hospital is included in a wide selection of health insurance plans. However, as plan coverage is frequently updated, it is recommended that you check with your insurance company for current information.
In the United States, it is common for patients to be treated at an in-network hospital's emergency department but receive a large unexpected bill from an out-of-network emergency physician working at that facility. This is because, in contrast to in-network billing, where the insurer and the healthcare provider have agreed on a set rate for services, out-of-network billing occurs when a healthcare provider bills a patient for services at rates that have not been agreed upon by the insurer. This can result in surprise or balance billing, where the patient is charged the difference between what the provider billed and what the insurer paid.
Federal law protects patients from out-of-network bills for emergency services in hospitals, hospital outpatient departments, and independent freestanding emergency departments. Insurers are required to cover out-of-network emergency care as if it were in-network care, meaning your deductible and coinsurance cannot be higher than the regular in-network amounts. Additionally, the No Surprises Act protects patients from balance billing in emergency situations.
However, it is important to note that you may be asked to sign a notice and consent form for out-of-network post-stabilization services. Signing this form means you agree to receive care out-of-network and give up your protections from unexpected out-of-network bills. If you do not sign the form, the provider or facility may refuse to provide non-emergency or post-stabilization care, and you may need to reschedule with an in-network provider.
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Frequently asked questions
It is recommended that you check with your insurance company for current information on coverage. St. Elizabeth's Physicians participate with most insurance companies, Medicare, and Medicaid.
Contact your insurance provider to verify coverage and participation of the provider.
St. Elizabeth's offers financial assistance to those in need. Eligibility is based on family size and current income.
St. Elizabeth's provides a cost estimator tool to help you understand your healthcare costs.
