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| Q1 |
Why didn't my insurance pay? |
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| A1. |
Perhaps your medical situation did not meet your insurance
company's criteria of medical necessity. You may contact your
insurance company for additional information. |
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| Q2 |
Which insurance companies are accepted by Saline Memorial
Hospital? |
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| A2. |
Medicare, Medicaid, Blue Cross products and various other
insurances are accepted. For a more detailed listing please
contact your managed care plan to ensure that Saline Memorial
Hospital participates in your plan. Saline Memorial Hospital
will bill any insurance carrier regardless of participation of
the PHO. However, there are some cases where the patient will
have a greater out-of-pocket expense. |
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| Q3 |
What is a HMO discount? |
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| A3. |
This is a discount your insurance company has negotiated with
Saline Memorial Hospital under a contract. |
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| Q4 |
Why does it take so long to receive a monthly statement? |
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| A4. |
Patients
who have insurance through a HMO that contracts with the
hospital are unable to send out monthly statements until the
claim is either paid with a balance due or considered denied. |
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| Q5 |
Who is responsible for obtaining a pre-authorization number? |
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| A5. |
Once
insurance is verified, we will ask if you have obtained the
necessary pre-certification of referrals as required by most
insurers. If you have not done so, we will assist you.
However, please understand that most insurance companies
require advance notification before you enter the hospital or
receive hospital care. In non-emergencies, we urge you to take
care of these matters before you come to the hospital.
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Q6 |
What happens if the wrong insurance information was provided
at the time of service? |
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| A6. |
Contact
the SMH Business Office at (501) 776-6069 as soon as you
become aware of the error. The best advice is to always carry
your current insurance cards. |
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