Jane Dotson
South Shore Medical Center is a leading provider of emergency, acute and outpatient care in Southeastern Massachusetts. The hospital accepts most major health insurance plans, including Medicare, and has written contracts with major managed care insurers/networks. However, it is always recommended that patients contact their insurance company prior to receiving services or care to confirm coverage details as plans and benefits can change frequently. Additionally, physician costs are typically billed separately and may not be included in the hospital's charges, so patients should also check with their attending physician to understand their insurance participation.
| Characteristics | Values |
|---|---|
| Location | Southeastern Massachusetts |
| Type | Level II Trauma Center |
| Insurers | United Healthcare, Cigna Healthcare, Medicare, Medicaid, Champus, Workers Compensation, Commercial Insurance |
| Financial Assistance | Available for medically necessary services |
| Billing Queries | Patient Accounts Department: 781-624-4120 |
| Pricing Queries | Pricing Estimation Line: 781-624-3424 |
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What You'll Learn
South Shore Hospital accepts most major insurance plans
South Shore Hospital in Massachusetts is a leading provider of emergency, acute, and outpatient care in the region. It is the only verified and designated Level II Trauma Center in the area. The hospital accepts most major insurance plans, including Medicare and Medicaid, and all forms of commercial insurance. Patients are advised to contact their insurer to confirm the details of their plan's benefits, as these can change frequently.
If you have any questions about your healthcare bills or would like to pay over the phone, you can contact the Patient Accounts department. For questions about pricing, there is a Pricing Estimation Line available. South Shore Hospital also offers financial assistance for those who qualify. This includes public assistance programs such as Connector Care Plans, MassHealth, and Health Safety Net.
The hospital provides a Courtesy Shuttle service for patients who need transportation to appointments or affiliated programs and services. The hospital is easily accessible from Route 3, and parking is available on-site.
South Shore University Hospital, part of Northwell Health, is an approved Medicare provider and will help submit insurance claims on behalf of patients. They also offer financial assistance for those without insurance, with reduced fees for services provided by Northwell Health facilities.
Shore Medical Center also provides information on the insurance plans in which it participates. They recommend contacting your insurance company prior to receiving services to understand the coverage provided by your plan. The center works with various physician groups that have their own participating insurance plans, which may differ from the hospital's.
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Medicare is accepted at South Shore University Hospital
South Shore University Hospital is an approved Medicare provider. The hospital accepts most commercial insurance plans and Medicare, and its representatives will help submit insurance claims on behalf of patients. Patients are advised to check with their health plan to ensure that the hospital is considered in-network for the service they require.
South Shore University Hospital is committed to providing patients with the tools and resources needed to help them make important healthcare decisions regarding their costs of care. Patients are encouraged to contact their insurer to learn the details of their plan's benefits as plan names and benefits can change frequently.
At the time of service, patients will be asked to answer questions to help determine the primary insurance carrier paying for their visit. This is referred to as an "MSP Questionnaire" and is required by federal law. Accurate information will allow the hospital to bill the correct insurance company. Medicare deductibles and coinsurance are covered by the patient's secondary insurance. If a patient does not have secondary insurance, they will be asked to pay these amounts or establish a payment plan. If they are unable to pay, the hospital will help determine if they qualify for a state-funded program.
South Shore University Hospital also offers reduced fees for services provided by Northwell Health facilities for patients without health insurance coverage. Uninsured patients may be able to obtain health insurance through the New York State Marketplace.
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Medicaid is accepted at HCA Florida South Shore Hospital
South Shore Hospital, located in Southeastern Massachusetts, is the leading provider of emergency, acute, and outpatient care in the region. It is the first and only verified and designated Level II Trauma Center south of Boston, including the Cape and Islands. The hospital is also one of only three hospitals in Massachusetts with a Level II license. South Shore Hospital accepts nearly every major health insurance plan, including commercial insurance plans and Medicare. While specific plans and benefits may vary and change frequently, patients with Medicaid can receive treatment at South Shore Hospital.
For those with Medicaid, it is important to understand the specific coverage provided by your plan. Patients with questions about their healthcare bills or specific coverage details can contact the South Shore Health Patient Accounts department by phone. Additionally, the hospital provides a Pricing Estimation Line to address inquiries related to pricing and potential costs.
South Shore Hospital also recognizes that some patients may require financial assistance for medically necessary services. They offer resources and information to help patients understand the financial aspects of their healthcare journey. Patients may be eligible for financial support through public assistance programs, including Connector Care Plans, MassHealth, and the Health Safety Net. Eligibility for these programs is determined by comparing family size and income with the Federal Poverty Guidelines.
South Shore Hospital is committed to ensuring that all patients feel safe and well-informed during their healthcare journey. They offer convenient online registration for surgical procedures, mammograms, and diagnostic tests. Additionally, the hospital provides guidelines for creating advance care plans to help patients and their families make informed decisions. With a focus on excellence in nursing services, South Shore Hospital has been recognized by the American Nurse Credentialing Center's Magnet Recognition Program, a distinction held by only 8% of US hospitals.
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South Shore Medical Center provides financial assistance
To be eligible for financial assistance, patients can call the Financial Counseling department at (781) 624-4329 to determine their eligibility and understand the requirements. Alternatively, patients can visit the Financial Counselor's office, located at South Shore Hospital in the Patient Access Department in the McKim Family Lobby (main entrance).
South Shore Medical Center also accepts most major health insurance plans, including commercial insurance plans and Medicare. For those with health insurance coverage, it is important to contact your insurer before undergoing any laboratory testing or medical procedures to understand the extent of your coverage and any potential out-of-pocket costs.
Additionally, South Shore Medical Center works with various public assistance programs, such as Connector Care Plans, MassHealth, Health Safety Net, and Medical Hardship, to provide financial assistance to eligible patients. Eligibility for these programs is determined by comparing family size and income with the Federal Poverty Guidelines.
For patients without health insurance coverage, there may be options to obtain health insurance through state marketplaces or qualify for reduced fees for healthcare services. South Shore Medical Center is committed to providing patients with the necessary resources to make informed decisions about their healthcare costs.
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Shore Medical Center accepts United Healthcare insurance
Shore Medical Center is committed to providing transparency in healthcare costs and participates in various insurance plans. They also work with multiple insurance carriers, such as DEVON HEALTH SERVICES INC. Additionally, Shore Medical Center assists patients in understanding their potential healthcare costs by offering information on the insurers and products in which the hospital participates, along with any exceptions. This commitment empowers patients to make informed decisions regarding their healthcare choices.
It is important to recognize that Shore Medical Center may be considered a participating provider (PAR) with a patient's insurance carrier, but the physicians providing care within the hospital might not participate in the same insurance plans. Therefore, patients are advised to check with their attending physician to confirm the insurance plans in which they participate. This separate billing is a standard practice, as the hospital's charges for services rendered during a patient's stay typically do not include the professional services provided by private or hospital-based physicians.
To ensure a seamless billing process, patients are encouraged to provide accurate information about their primary insurance carrier at the time of service. This information is required by federal law and helps ensure that the correct insurance company is billed. Additionally, patients should be aware that Medicare deductibles and coinsurance are typically covered by their secondary insurance. If a patient does not have secondary insurance, they may need to establish a payment plan or explore state-funded programs for financial assistance.
In summary, Shore Medical Center accepts United Healthcare insurance and is committed to providing transparency in healthcare costs. They participate in various insurance plans and work with multiple insurance carriers. Patients are advised to contact their insurance company and attending physician beforehand to understand their coverage and potential out-of-pocket expenses fully. By offering this information, Shore Medical Center empowers patients to navigate their financial responsibilities related to healthcare services effectively.
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Frequently asked questions
South Shore Medical Center accepts most commercial insurance plans and Medicare. They also accept Medicaid, Champus, and Workers' Compensation. It is always best to contact your insurance company to obtain more information and confirm coverage.
You can contact the Patient Accounts department at 781-624-4120 or check with your health plan directly to see if South Shore Medical Center is considered in-network for the service you require.
If you do not have health insurance coverage, you may qualify for reduced fees or financial assistance. You can contact the Financial Counseling department at (781) 624-4329 to determine eligibility.
If your insurance plan is not accepted, you may be responsible for out-of-pocket costs. It is recommended to contact South Shore Medical Center or your insurance company to discuss alternative options or determine if there are any exceptions.
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