Orlando Harmon
The Queen's Medical Center (QMC), founded by Queen Emma and King Kamehameha IV in 1859, is a healthcare provider with four hospitals and 70 healthcare centers and labs throughout Hawai'i and the Pacific Basin. The Queen's Health Systems, which includes QMC West O'ahu, accepts most insurance types, including most private health insurance plans. However, it is recommended that patients contact their insurance company to verify eligibility. For uninsured or underinsured patients, QMC offers discounted rates and assistance in applying for government health insurance programs such as Medicare and Quest.
| Characteristics | Values |
|---|---|
| Name | Queen's Medical Center West |
| Address | 1301 Punchbowl Street Honolulu, HI 96813 |
| Contact | 691-4970 |
| Insurance Types | Most insurance types are accepted, including private health insurance plans. |
| Financial Assistance | The Financial Assistance Policy offers emergency and other medically necessary services at low or no cost to the patient. A discounted rate is applied for eligible patients who are uninsured or underinsured. |
| Insurance Claims | Patients are expected to provide their insurance information to submit a claim. |
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What You'll Learn
- The Queen's Health Systems accepts most insurance types
- Patients can receive assistance in navigating health insurance options
- Patients are expected to pay in full without medical insurance
- The Explanation of Benefits (EOB) statement details insurance claims
- Patients can contact Queen Emma Clinics to check accepted insurance plans
The Queen's Health Systems accepts most insurance types
The Queen's Health Systems is a healthcare provider based in Honolulu, Hawaii, with a history dating back to 1859. It was founded by Queen Emma and King Kamehameha IV to provide healthcare and healing for the people of Hawaii. Today, the organisation comprises four hospitals and 70 healthcare centres and labs, delivering care to patients from across the state and beyond.
The Queen's Health Systems is committed to providing medical services to all patients and considers each patient's financial ability to pay for treatment. It offers a Financial Assistance Policy, which provides emergency and other necessary medical services at low or no cost to eligible patients. The organisation also assists patients, free of charge, in applying for eligibility for government health insurance programs, such as Medicare and Quest.
The Queen's Health Systems provides a wide range of medical services, including family medicine, women's health, paediatric care, wellness and prevention, diagnostics, and treatments. With a diverse and qualified medical team, the organisation delivers care that is continually advancing through education and research.
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Patients can receive assistance in navigating health insurance options
The Queen's Health Systems is committed to providing medical services to patients and objectively assessing each patient's financial ability to pay for hospital services. The Financial Assistance Policy offers emergency and other medically necessary services at low or no cost to the patient. Eligible uninsured or underinsured patients without adequate financial resources to pay for their medical care may receive a discounted rate.
The Queen's Health Systems staff will assist individuals for free in applying for eligibility for government health insurance programs, such as Medicare and Quest. All applicants will be initially screened for Quest eligibility by ElevatePFS and will be requested to cooperate with staff in applying for the Quest program.
If you are recently uninsured or at risk of becoming uninsured, there are other avenues to explore. Affordable Care Act (ACA) plans for individuals and families are available through the federal exchange, HealthCare.gov. You may be able to obtain a government subsidy to help pay for your monthly membership rate. You may also be eligible to receive a health plan at no cost or low cost from the state. Learn how to apply by visiting the QUEST Integration website: https://medical.mybenefits.hawaii.gov.
If you do not have medical insurance, you will be expected to pay for your services in full at the end of your visit. To facilitate seamless communication for bill payments, financial inquiries, and assistance requests, please refer to the provided directory for the relevant phone number and address.
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Patients are expected to pay in full without medical insurance
The Queen's Health Systems, which includes Queen's Medical Center West, accepts most insurance types. However, it is important to note that whether your insurance plan covers your care depends on your insurance provider. Patients are advised to contact their insurance company to verify eligibility.
If a patient does not have medical insurance, they will be expected to pay for their services in full at the end of their visit. The Queen's Health Systems is committed to providing medical services to patients and objectively considers each patient's financial ability to pay for the cost of hospital services. The Financial Assistance Policy offers emergency and other medically necessary services at low or no cost to the patient. A discounted rate is applied for eligible patients who are uninsured or underinsured and do not have or cannot obtain adequate financial resources to pay for their medical care.
The Queen's Health Systems staff will assist individuals, free of charge, in applying for eligibility for government health insurance programs, such as Medicare and Quest. All applicants will be initially screened for Quest eligibility by their partner ElevatePFS and will be requested to cooperate with staff in applying for the Quest program. Affordable Care Act (ACA) plans for individuals and families are also available through the federal exchange, HealthCare.gov, where individuals may be able to obtain a government subsidy to help pay for their monthly membership rate.
For those without insurance, it is important to note that The Queen's Health Systems provides a range of financial resources to help patients resolve their balances. This includes information on pricing transparency to avoid surprises in medical bills. Patients can refer to the provided directory for the relevant phone number and address for bill payments, financial inquiries, and assistance requests.
The Queen's Health Systems is dedicated to improving the health of Native Hawaiians and all people of Hawai'i, with a commitment to providing quality care and convenient, safe, and reliable options for addressing financial balances.
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The Explanation of Benefits (EOB) statement details insurance claims
The Queen's Health Systems, which includes Queen's Medical Center West, accepts most insurance types. However, it is important to verify with your insurance company whether your insurance plan covers your care.
Explanation of Benefits (EOB) Statement:
The Explanation of Benefits (EOB) statement is a document that details how your insurance company processed your claim for the services you received. It is not a bill, but it helps you understand how your bill will be divided between yourself, your insurance provider, and the medical service provider(s). It also ensures that you are receiving the full benefit or discount that you are entitled to under your insurance plan.
The EOB statement includes the following information:
- A summary of your account information, including your name, the date(s) of service, and a claim number.
- A service description, explaining the type of service you received (e.g., a medical visit, lab test, or screening).
- The cost of your care and how much your insurance company will pay.
- "Provider Charges," which is the amount billed by your provider.
- "Allowed Charges," which is the amount your provider will be paid and may differ from the Provider Charges.
- "Paid by Insurer," indicating how much your insurance plan will pay to your provider.
- "What You Owe," also called the Patient Balance, is the amount you are responsible for paying after your insurer has paid their portion.
The EOB statement may also include:
- Details on discounts received by accessing care within your plan's network of providers.
- Amounts paid from spending accounts, such as a health reimbursement account (HRA).
- Any outstanding amount you need to pay.
- A glossary of terms and definitions included in the EOB.
- Instructions on how to appeal a claim if necessary.
- Specific details about filing an appeal in your state of residence.
- A summary of deductible and out-of-pocket maximums.
Additionally, pay attention to any requests from your insurance company for additional information, as providing this promptly can help with claim reconsideration.
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Patients can contact Queen Emma Clinics to check accepted insurance plans
The Queen's Health Systems is committed to providing medical services to patients and objectively considers each patient’s financial ability to pay for the cost of hospital services. The Financial Assistance Policy offers emergency and other medically necessary services at low or no cost to the patient. A discounted rate is applied for eligible patients who are uninsured or underinsured and do not have or cannot obtain adequate financial resources to pay for their medical care.
The Queen's Health Systems accepts most insurance types. However, it’s important to note that whether your insurance plan covers your care depends on your insurance provider. Patients are advised to contact their insurance company to verify eligibility.
If you are recently uninsured or are at risk of becoming uninsured, there are a few options to explore. Affordable Care Act (ACA) plans for individuals and families are available through the federal exchange, HealthCare.gov. You may be able to get a government subsidy to help pay for your monthly membership rate. You may also be eligible to get a health plan at no cost or low cost from the state. Learn how to apply by visiting the QUEST Integration website: https://medical.mybenefits.hawaii.gov. Additionally, staff at The Queen's Health Systems will assist individuals, free of charge, in applying for eligibility for government health insurance programs, such as Medicare and Quest.
If you are unsure about whether your insurance is accepted, patients can contact Queen Emma Clinics at 691-4970 and they will do their best to answer your questions.
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Frequently asked questions
Queen's Medical Center West accepts most insurance types, including private health insurance plans.
If you do not have medical insurance, you will be expected to pay for your services in full at the end of your visit.
The Queen’s Health Systems is committed to providing medical services to patients and objectively considers each patient’s financial ability to pay for the cost of hospital services. The Financial Assistance Policy offers emergency and other medically necessary services at low or no cost to the patient. A discounted rate is applied for eligible patients who are uninsured or underinsured.
Whether your insurance plan covers your care depends on your insurance provider. Please contact your insurance company to verify eligibility.
To submit an insurance claim, you will need to provide your insurance information. Authorization or referral may be required by your insurance company and must be obtained prior to services.
