Orlando Harmon
As of February 2025, Hackensack Meridian Health and Horizon Blue Cross Blue Shield of New Jersey were deadlocked on a new contract, which raised the prospect of Hackensack University Medical Center shifting from in-network to out-of-network. This dispute does not apply to customers covered through Medicaid or the Braven Medicare Advantage plan. It is important to consult your health insurance plan to understand your coverage and potential obligations for certain out-of-pocket costs. Hackensack Meridian Health offers a compassionate care discount for uninsured patients.
| Characteristics | Values |
|---|---|
| Insurance accepted | Hackensack Meridian Health accepts a wide range of insurance plans including Medicare. |
| Surprise medical bills | Hackensack Meridian Health is committed to providing information to protect patients from receiving surprise medical bills. |
| Insurance verification | Patients are required to provide a copy of their health insurance ID card(s) for insurance verification. |
| Financial assistance | Reduced rates are offered to patients without insurance who don’t qualify for financial assistance. |
| Compassionate care discount | Hackensack Meridian Health offers a compassionate care discount for services provided to uninsured patients. |
| Insurance plans | Hackensack Meridian Health participates in various insurance plans, including Horizon Blue Cross Blue Shield of New Jersey and Aetna's Medicare Advantage plan. |
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What You'll Learn
- Hackensack Meridian Health accepts Medicare
- Patients should consult their insurance plan for coverage details
- Hackensack Meridian offers a compassionate care discount for uninsured patients
- Hackensack Meridian Mountainside Medical Center offers reduced rates to uninsured patients
- Patients can call 551-996-3355 to ask about their insurance plan's network status
Hackensack Meridian Health accepts Medicare
Hackensack Meridian Health is committed to providing patients with the information they need to protect them from unexpected medical bills. They have worked to ensure compliance with New Jersey's new law to prevent surprise medical billing. However, it is crucial for patients to consult their own health insurance plans, as only those plans can provide detailed information about coverage and potential out-of-pocket costs.
Hackensack Meridian Health accepts a wide range of insurance plans, including Medicare. They have partnered with HealthShare360, a licensed and certified health insurance agency, to help patients view, compare, and choose Medicare plans that include Hackensack Meridian Health and its affiliated doctors. HealthShare360 assists Medicare enrollees in understanding Medicare Advantage, Medicare Supplement Insurance, and Prescription Drug Plan options.
The Hackensack Meridian Mountainside Medical Center also offers reduced rates to patients without insurance who do not qualify for financial assistance. These rates are based on those paid by Medicare, and financial assistance is defined by the State of New Jersey as Charity Care or Uncompensated Care for patients within certain income and asset limits.
Additionally, Hackensack Meridian Health has developed the HMH Wayfinding application to help patients navigate parking and other points of interest at their facilities. This commitment to patient convenience and transparency in billing practices demonstrates Hackensack Meridian Health's dedication to patient care and satisfaction.
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Patients should consult their insurance plan for coverage details
If you are currently uninsured, Hackensack Meridian Health offers a compassionate care discount for services provided. You can select one of the links to access their prices. Please note that the prices listed are an “Estimate” only. The price may vary if additional services are added or if complications arise. These rates do not apply to International Patients.
To begin, you should contact the Customer Service or Member Services Department at your insurance company. They should be able to tell you about your in-network and out-of-network coverage for care at Hackensack Meridian Health, as well as what your financial responsibility will be. Many insurance companies limit payments to medical providers using their own fee schedule of usual, customary, and reasonable (UCR) allowances. The fees you incur for medical services at Hackensack Meridian Health may differ from those allowed by your insurance plan. You will be responsible for the payment of any fees not covered by your plan, including any balances resulting from UCR fee limitations.
If you have any additional questions, please do not hesitate to contact Hackensack Meridian Mountainside Medical Center at (844) 220-0425. They offer reduced rates to patients without insurance who don’t qualify for financial assistance. These rates are based on those paid by Medicare.
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Hackensack Meridian offers a compassionate care discount for uninsured patients
Hackensack Meridian Health is committed to providing its patients with the information they need to protect them from receiving surprise medical bills. In accordance with New Jersey's new law, Hackensack Meridian has listed the insurance plans whose networks they participate in. However, it is still important that patients consult their own health insurance plans, as only these can provide detailed information about coverage and potential obligations for certain out-of-pocket costs.
For those without insurance, Hackensack Meridian offers a range of financial assistance programs. A dedicated Financial Assistance team at each hospital can help patients determine if they are eligible for any financial assistance. For the uninsured, the team can review their situation and determine if they qualify for NJ Family Care, Get Covered NJ (the State of NJ Health Insurance Marketplace), Charity Care, or one of the HMH Compassionate Care programs.
The Compassionate Care program offers discounted rates for uninsured patients. The Compassionate Care I Rate is based on the Inpatient and Outpatient Self-Pay Compassionate Care rates for the services rendered. The Inpatient Compassionate Care rates are the Medicare DRG rates for the current year, while the Outpatient Compassionate Care rates are based on the Medicare APC Rate or the Medicare Fee Schedule Rate, depending on the services rendered.
The Compassionate Care II Rate applies to uninsured patients who do not qualify for Medicaid or the NJ Hospital Care Assistance Program (Charity Care) and whose income is not in excess of 600% of the Federal poverty level. For these patients, Hackensack Meridian will apply a rate that is 50% of Medicare's rates for the current year.
The Compassionate Care III program offers a 50% discount on the amount owed to patients whose income is less than 600% of the Federal Poverty Level and who indicate that it is not possible to pay the outstanding amount with an interest-free payment plan over an extended period.
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Hackensack Meridian Mountainside Medical Center offers reduced rates to uninsured patients
Hackensack Meridian Mountainside Medical Center is committed to providing patients with the information they need to protect them from surprise medical bills. The medical center has worked to ensure that it complies with New Jersey's new law regarding surprise billing. However, patients are advised to consult their health insurance plans to understand their coverage and potential out-of-pocket costs.
Mountainside Medical Center offers reduced rates to uninsured patients who do not qualify for financial assistance. These rates are based on Medicare rates. The State of New Jersey defines financial assistance as Charity Care or Uncompensated care for patients with income and asset limits within set guidelines. All inpatient and outpatient services provided by Mountainside Medical Center that are deemed medically necessary by the State Department of Health are eligible for financial assistance. Physician charges are not eligible for financial assistance.
Patients who are residents of New Jersey can apply for financial assistance screening. Applicants with over $7,500 in assets per individual or $15,000 per family will not be eligible for assistance. Patients can apply for financial assistance by calling 844-220-0425 from 9:00 a.m. to 5:00 p.m., Monday through Friday.
Additionally, Mountainside Medical Center offers payment plans to patients. The payment plan duration may not exceed six months, with a minimum payment of $25 per month. Patients who fall behind on payments without arranging an alternate payment plan will have their accounts turned over to a collection agency after 120 days of non-payment.
Hackensack Meridian Health also offers a Digital Navigation Application called HMH Wayfinding, which helps patients navigate parking and other points of interest at their facilities.
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Patients can call 551-996-3355 to ask about their insurance plan's network status
If you are a patient at Hackensack University Medical Center and would like to know if your insurance plan is accepted, you can call 551-996-3355 to ask about their insurance plans network status. This direct line will help you understand whether your insurance is in or out of their network and what your financial responsibility will be.
It is important to be aware of any potential out-of-pocket costs and to consult your health insurance plan for detailed information. You can also contact the physician directly to ask about their network status with your particular health insurance plan.
If you are currently uninsured, Hackensack Meridian Health offers a compassionate care discount for services provided. You can find pricing estimates for your treatment on their website.
Additionally, HealthShare360 offers you the ability to view, compare, and get an estimate for Medicare plans that include Hackensack Meridian Health and its affiliated doctors. To learn more, you can call HealthShare360 at 855-513-5897.
For billing and insurance information, a pre-admission coordinator will call you at home to verify basic information, including the type of insurance you carry. If you prefer, you may also call them to complete the process.
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Frequently asked questions
Hackensack Meridian Health accepts a wide range of insurance plans, including Medicare. However, it is advised to consult your own health insurance plan for detailed information about your coverage.
You can call 551-996-3355 to know if Hackensack Meridian Health participates in your plan.
Hackensack Meridian Health offers a compassionate care discount for uninsured patients. You can find pricing estimates for your treatment on their website.
Insurance carriers frequently deny claim submissions after 60 days, and payment for late submissions may be considered your responsibility. You should assist the hospital in appealing to the insurance carrier for any services that are not paid.
