Navigating Insurance Changes: City Of Hope's Guide To A Smooth Transition

City of Hope® is a cancer treatment centre with a national network of hospitals and clinics that offers comprehensive cancer care for patients across the United States. They understand that each patient's medical situation and insurance coverage is unique and accept a wide range of insurance and coverage types, including PPO, Covered California, HMO and Medicare. If your insurance plan is not accepted at City of Hope, you can contact your insurance company and ask about obtaining authorization to receive treatment there. If your insurance plan will not authorize treatment, or you do not have insurance, City of Hope can still provide treatment, but a deposit is required prior to the commencement of treatment.

City of Hope accepts most major health plans for hospital and physician services

City of Hope understands that each patient's medical situation and insurance coverage is unique. Although there is no guarantee of coverage, patients are advised to ask their insurance provider to review their request with City of Hope. If a patient's insurance plan does not cover care at City of Hope, they can ask their insurance company to authorize treatment.

City of Hope accepts a wide range of insurance and coverage types, including PPO, Covered California, HMO, and Medicare. They also accept most major health plans for hospital and physician services. These include:

• Affiliated Health Funds
• Benefit Panel Services (MultiPlan)
• Blue Shield of California
• Envisioncare Triage-Advocates, Inc.
• Coventry/First Health
• Great West Health Plan
• Interlink Health Services
• Health Net of California
• Health Smart/Inter Plan Health Group
• LA Foundation for Medical Care
• Nevada Preferred Professionals
• Private HealthCare Systems (MultiPlan)
• Three Rivers Provider Network
• Reserve Select (TRS)
• Retired Reserve (TRR)
• Young Adult Prime Remote
• United Cancer Resource Services
• Universal Health Network (Nevada Preferred Professionals)
• Blue Shield Covered California EPO
• Blue Shield Covered California PPO
• Health Covered California HMO (Ambetter HMO)
• OSCAR Health Plan EPO
• Aetna Institutes of Excellence
• Anthem Blue Cross Center of Medical Excellence
• Blue Distinction Center for Transplants
• Coventry/First Health
• Interlink Health Services
• LifeTrac Transplant Network
• Reserve Select (TRS)
• Retired Reserve (TRR)
• Young Adult Prime Remote
• EPO (Exclusive Provider Organization)
• Blue Shield of California
• Health Net of California
• POS (Point Of Service)
• Blue Shield of California
• Health Net of California
• Reserve Select (TRS)
• Retired Reserve (TRR)
• Young Adult Prime Remote
• Original Medicare (Part A and B)
• Medicare Advantage PPO/HMO (Part C)
• Blue Shield of California
• Health Net of California
• WellCare/Easy Choice
• Blue Shield Promise Health Plan/Care1st Health Plan (former name)
• Gold Coast Health Plan
• Health Net of California
• Inland Empire Health Plan (IEHP)
• L.A. Care Health Plan
• Molina Healthcare of California
• United Healthcare (AARP Secure Horizons)
• WellCare/Easy Choice
• Blue Shield Promise Health Plan/Care1st Health Plan (former name)
• California Health & Wellness
• Gold Coast Health Plan
• Health Net of California
• Inland Empire Health Plan (IEHP)
• L.A. Care Health Plan
• Molina Healthcare of California
• CAR T Cell Therapy Networks
• Blue Shield of California
• Inland Empire Health Plan (IEHP)
• Interlink Health Services

City of Hope is also a participating provider in government programs such as Medicare, MediCal, and Tricare/Champus.

Patients can contact City of Hope's financial support services for assistance with insurance and billing

City of Hope understands that each patient's medical situation and insurance coverage is unique. While there is no guarantee of coverage, patients are advised to ask their insurance provider to review their request with City of Hope. Even if a patient's insurance plan does not cover care at City of Hope, they can still request their insurance company to authorize treatment. Patients can contact their insurance company, usually through the contact number on their insurance card or benefits book, to discuss their specific coverage.

City of Hope accepts a wide range of insurance and coverage types, including PPO, Covered California, HMO, and Medicare. They also participate in government programs such as Medicare, MediCal, and Tricare/Champus. Patients can visit the insurance coverage and plans accepted page or call the Managed Care Department to determine if their insurance is accepted.

Additionally, City of Hope offers financial assistance for patients with substantial financial needs who cannot afford care. Patients may be eligible for assistance under the City of Hope Financial Assistance Policy and can fill out an evaluation form to determine their eligibility. The organization also provides social services, payment programs, and financial counselors to help patients manage the financial burden of cancer treatment and related costs.

For specific questions about insurance coverage, billing, or other financial matters, patients can contact City of Hope's financial support services at 1-626-256-HOPE (4673), extension 62715. This team is dedicated to assisting patients with their financial concerns and ensuring they receive the support they need.

Patients can ask their insurance company to authorise treatment at City of Hope

If you are a patient at City of Hope and your insurance plan is not accepted, you can contact your insurance company and ask about obtaining authorisation to receive treatment at City of Hope. While there is no guarantee of coverage, it is reasonable to make this request and to ask your insurance company to review your case with City of Hope directly.

Each patient's medical situation and insurance plan is different. If you are insured by an HMO, you will need to obtain written authorisation from your primary care provider or medical group in order to be seen at City of Hope. If you are unsure about your insurance coverage, you can contact City of Hope's financial support services at 1-626-256-HOPE (4673), ext. 62715.

If you are a patient or parent of a minor who is receiving treatment at City of Hope, it is important to know the rights you have under federal and California state law. If, at any point in your care, you feel your rights are not being served, you may express your concerns confidentially with one of the patient advocates at 626-256-HOPE (4673), ext. 62285.

If you have questions about your insurance coverage, City of Hope has dedicated financial advisors who can provide answers.

City of Hope offers financial assistance for patients with substantial financial needs

City of Hope understands that treating cancer can be expensive, often due to expenses related to time away from work and care for dependents. The organisation offers financial assistance for patients with substantial financial needs and helps make cancer-related costs more manageable.

City of Hope's social services, payment programs, and financial counsellors are all part of their commitment to helping patients and their families. They offer support and guidance to meet the unique needs of patients and their loved ones. The Financial Clearance Services office assists with insurance and financial issues, providing financial counselling, explaining benefits and eligibility, outlining expected out-of-pocket costs, facilitating insurance authorisation, and conducting medical necessity screening.

Additionally, City of Hope provides patient navigators who act as liaisons between patients and their healthcare teams. These navigators help patients access financial aid and assist with insurance paperwork. They also coordinate multiple medical appointments, connect patients with interpreter services, and ensure patients understand the information shared by physicians.

To be eligible for financial assistance under the City of Hope Financial Assistance Policy, patients must fill out an evaluation form and submit all required documents. Patients can contact the Patient Resources Coordinators at 626-218-2273 (CARE) or email [email protected] for more information.

Patients can contact City of Hope's Patient Estimate Team for information about their estimated costs

City of Hope® understands that treating cancer can be expensive, and there are often additional costs related to time away from work and care for dependents. The organisation aims to make pricing and payment questions as straightforward as possible for patients and their caregivers.

City of Hope has a team of financial counsellors who can help patients and their loved ones manage the costs associated with cancer treatment. Patients can contact the Patient Estimate Team via email at [email protected] or by calling 833-915-4673. The team is available from Monday to Friday, 8 am to 5 pm PST. They can provide patients with information about their estimated costs.

The Patient Estimate Team can also direct patients to the MyCityofHope online tool, which displays up to 300 common services at City of Hope. This tool can help patients estimate what they are obligated to pay based on their insurance coverage. It is important to note that this is only an estimate and does not include physician charges, which are billed separately. The total cost may vary depending on changes in the treatment plan, length of stay, inpatient or outpatient status, and any complications that may arise.

Additionally, City of Hope provides a list of standard charges for individual procedures, services, and goods at its main campus in Duarte and its Arcadia Radiation Oncology site. These charges may change throughout the year and are subject to change.

City of Hope also offers financial assistance for patients with substantial financial needs who cannot afford care. To determine eligibility, individuals must complete an evaluation form and submit the required documents.

Frequently asked questions