As a courtesy to patients, Foundation Surgical Hospital of El Paso submits bills to your insurance company and will do everything possible to expedite your claim. However, it may become necessary for you to contact the insurance company or supply additional information to them for claims processing requirements or to expedite payment. You should remember that your policy is a contract between you and your insurance company and you have the final responsibility for payment of your hospital bill.
If you have certain tests or treatments, you may receive bills from physicians you did not see in person. These bills are for professional services rendered by these doctors in diagnosing and interpreting test results while you were a patient. Pathologists, radiologists, cardiologists, anesthesiologists and other specialists perform these services and are legally required to submit separate bills. If you have questions about these bills, please call the number printed on the statement you receive from them.
If You Have Health Insurance
Foundation Surgical Hospital of El Paso accepts most major insurance carriers. When you are admitted, we will need a copy of your identification card to verify your insurance coverage. If you have questions about your coverage while in the hospital, please call a patient financial counselor at (915) 849-5136, or contact your insurance company or employer.
If you are a Member of an HMO or PPO
Patients with HMO and PPO coverage are responsible for paying any co-payments, deductibles, and non-covered services at the time services are rendered. Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of your bill. Also, some physician specialists may not participate in your healthcare plan and their services may not be covered. In Case of an Emergency, it is important you call the appropriate review service or your insurance company within 24 hours of admission, or your claim may not be honored.
If You Are Covered by Medicare
We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and co-payments are also the responsibility of the patient. FSHEP files with Medicare for inpatient services and outpatient services. As an additional service, we will assist you in filing your supplemental insurance.
If you are covered by Medicaid
We will need a copy of your Medicaid card. Medicaid also has payment limitations on the number of services and items.
Self-Pay or Self Funding
Patient’s who do not carry insurance coverage or wish to file their own insurance claims will be responsible for total payment of charges at the time services are rendered. This policy also applies to patients who do not provide adequate insurance information in order to file an appropriate claim.
Payment of Services
For you convenience we accept cash, personal or travelers’ checks, money orders.
FSHEP will file all authorized claims to a patient’s employer for work-related injuries. Note: To be eligible for Workers’ Compensation coverage, the patient must have the employer accept liability for the Workers’ Compensation Claim. Patients must provide the exact date of injury, the employer’s name, address, telephone number, and a business contact that can be reached for approval of services.
If you do not have insurance or you have limited coverage, our financial counselor will be pleased to assist you in making other arrangements for payment prior to discharge.
*Payment Plan Available through FCA.