You have the right to receive a “Good Faith Estimate”
To provide helpful information based on each patient’s personal healthcare coverage, we must first determine your private insurance or government coverage (such as Medicare or Medicaid). If you have any questions about determining such call 626-821-2354. Your estimate will be a “good faith estimate” and not a final price as additional procedures may be performed or complications may arise. Additionally, your insurer has the final say on coverage, contract pricing and your financial responsibility. If you are uninsured or choose not to use your insurance, federal law gives you the right to a “Good Faith Estimate.” (See PDF document or you can go to www.cms.gov/nosurprises)
First, you need to contact your insurance company to ensure that the services you require are “covered services.” If some or all of the services are not covered under your plan, please refer to our uninsured information. You also will need to contact your physician’s office to get the specific diagnosis or procedure description.
Our procedure pricing tool provides cost estimates for insured and uninsured patients. When using this tool, you will need to have the information listed in No. 1 and No. 2 below. Be sure to have the following information available, so that we can provide the best estimate possible:
- Description of services needed: we will need as much information as possible about the specific services described by your physician.
- Type of services needed: we need to know if you will be admitted to the hospital as an inpatient overnight or if you will be treated as an outpatient.
- Physician/specialist name: if you are having surgery, we will need the surgeon’s name.
- Your insurance card: please have your card available so that we can get the following information: insurance company, type of policy (HMO, PPO, POS, Indemnity, etc.), policy holder’s name, group name and number, policy number, insurance company phone number.
- Policyholder’s personal information: the insurance company might want us to verify the Social Security Number and date of birth of the primary insurance policyholder.