Patients who receive care in a hospital-owned clinic can expect to receive two bills: One for the facility fee and one for the provider care. Insurance plans that require prior authorization or pre-certification may not pay for services if it is not authorized prior to the date of service. Charges are based on such things as time spent with the clinician, services ordered, diagnoses associated with those services and supplies that are used. To better accommodate your family members' needs, it might be more convenient for one physician to know your family history and care for you, but it is not necessary for each family member to see the same physician. When and how to change your health coverage How do I find out if I qualify for Medicaid? Copyright 2023 University of Washington | All rights reserved. Patient financial resources (pdf). Health Insurance Coverage. Student enrolled at UW but doing research outside the U.S. Student working in the U.S. and receiving health insurance benefits through his or her employer. Premium is the amount that must be paid foryour health insurance. UW Medicine does not participate in every plan that each insurance company offers. UW Health highly recommends that you contact your insurance company to determine your specific benefits for the UW Health location at which you plan to be seen. MyChart: Log in to your account and select the Billing > Insurance Summary option. They also pay for care by non-physician staff such as nurses, pharmacists, social workers, medical assistants, respiratory therapists and dieticians. Ideally, it will cover planned and unplanned medical expenses with out-of-pocket costs you can afford. This feature is available for both MyChart and non-MyChart users. Your provider - doctor, nurse practitioner (NP) or physician assistant (PA) - will ask you questions about your symptoms, so take a minute to think about how you will describe this information to your care team. Your PCP treats you when youre sick and helps you manage chronic conditions. Washington Health Benefit Exchange: Nov. 1, 2021-Jan. 31, 2022 (you must sign up by Dec. 15, 2021, for coverage started Jan. 1, 2022) Your insurance or specific plan, contact your company's HR department or your insurance company. ), SwedishAmerican Hospital and Clinics (1401 E. State St.), SwedishAmerican Medical Center Belvidere (1625 S. State St.), Women and Childrens Hospital and Clinics (1350 Charles St.), Wound Care and Hyperbaric Clinic (1415 E. State St.), American Family Children's Hospital Clinics (1675 Highland Ave.), American Family Childrens Hospital Clinics (2275 Deming Way), Behavioral Health Youth and Family (122 E. Olin Ave.), Digestive Health Center (750 University Row), E Terrace Dr Medical Center (formerly East Clinic) (5249 E. Terrace Dr.), East Madison Hospital (4602 Eastpark Blvd. Preventive care and screening tests help find health concerns early before they become major problems. Discounts are offered and applied in our billing system for service dates starting July 1, 2020. Other insurance Information about life insurance, long-term disability, discounts for auto, home, and renters insurance, and LTD insurance for medical students and fellows. The care team includes you, the physician, nurse, medical assistant and receptionist. When care is received at a non-hospital clinic, all charges can be combined into one bill, so there is no facility fee. The negotiated charge that the patients insurance carrier will pay the hospital, which is generally less than the standard charges. The frequency of screening tests or exams is determined by your age and your personal and family health history. Accepted insurance plans Contact information for billing and insurance Glossary of billing and insurance terms Billing and insurance FAQ Financial Assistance: UW Medicine offers financial assistance, under its Financial Assistance policy, to eligible patients unable to pay for emergency or other medically necessary care. For more information about your rights and protections against medical bills, please see this disclosure notice that explains surprise billing (sometimes called "balance billing") in more detail: Your rights and protections against surprise medical bills (pdf), Sus derechos y protecciones frente a las facturas mdicas sorpresivas (pdf). No. UW Healths telehealth site fee is $94.50. Wellness (and health promotion) is key to the overall plan for your care. To help understand your bills, here are the answers to some of the questions patients often ask. UW Medicine Airlift Northwest, Harborview Medical Center, UW Medical Center, UW Physicians, Valley Medical Center, UW Medicine Primary Care. The out-of-pocket cost is driven primarily by: Any copay, deductible, and/or coinsurance required by the patients benefit plan; and. Prescription coverage Included with health insurance, these plans significantly reduce employee out-of-pocket prescription costs. You'll find both plans on the Delta Dental website. If you have health insurance, you can call your insurance to find an in-network location to receive your vaccines or titers. Monday-Friday: 7:30 a.m.-4 p.m. If you are pre-registered, we will only confirm your name and date of birth. To help us provide the best possible service to you, we encourage you to contact us as early as possible before services are provided and costs are incurred. But when searching for a dentist, make sure you know the plan network and group number; then use that information to verify that a dentist accepts the insurance. Why do UW Health provider-based clinics charge a facility fee? Premium surcharges You must pay an extra fee if you or a dependent uses tobacco or if you add a dependent who has declined other health coverage This program is available for services at Harborview Medical Center, UW Medical Center Montlake, UW Medical Center Northwest, UW Physicians and UW Medicine Primary Care. Note: When you click the links below for standard charges, the file(s) will download to your computer or mobile device. If you do not have a MyChart account, you can create a new account or pay as guest: To request a new account, go to MyChart and select "Sign Up Now.". Learn more about becoming a provider and keeping your information updated. Payment is still required when you are filing bankruptcy. Providing patients with excellent eye care is the crux of what we do within the University of Wisconsin - Madison Department of Ophthalmology and Visual Sciences and our UW Health Eye Clinics, this encompasses the optometry service and optical shops at each location, which many in our community may not know we . New employees must pick a . To pay as a guest, you will need your account number. UW Medicine is offering self-pay discounts to patients and guarantors who are uninsured or are receiving services not covered by their current insurance plan. Provider-based clinics are required to meet strict patient safety standards and more regulatory requirements than physician-owned clinics. Our staff can help you choose a primary care provider (PCP) from an Illinois or Wisconsin clinic for all members of your family. However, you can assume we will start your authorization 3-6 weeks before your date of service. Primary care focuses on your overall health needs. Insome cases, you may haveto pay the full cost. If they say they will be reprocessing your claim, please obtain a reference number and contact Customer Service: Yes. As a health care professional, in-home caregiver, mental health professional, or one of dozens of other qualifying professions, you may be eligible to be an Apple Health (Medicaid) provider. For more information, visit our web pages about: It can be hard to know ahead of time exactly how much you'll be charged for a visit. If you have a UW Health MyChart account, you can set up payment plans and save credit card information for future payments. Call or send a MyChart message if you are unclear about any of the instructions or think of more questions to ask. An optional preventive dental plan (called Uniform Dental) is available, at extra cost. In those cases, UW Medicine would be considered out of network and your care here would not be covered. UW Laboratory Medicine Asistencia financiera ofrecida Combined they offer transparency and disclosure for individuals seeking medical services. Health insurance can be purchased through the Health Insurance Marketplace. Connecting you to the experts at UW Health, Health history form for adult patients (pdf), Health history form for pediatric patients (pdf), Authorization for verbal communication and/or to leave voice mail messages (pdf), Autorizacin para la Comunicacin Verbal y/o para dejar mensajes en el buzn de voz (pdf), Language Access: Notice of Nondiscrimination. Convenience at your fingertips. What does a UW Health statement look like? To pay as guest, go to MyChart and select "Pay as Guest." Your charges will depend on the actual services you receive. Co-insuranceis your share of the costs of acovered healthcare service, calculated as a percent(for example, 20 percent) of the total cost for the service. What if I'm sick and have an immediate care need? This type of clinic also is called a hospital-based outpatient clinic or provider-based clinic. Monday-Friday:8 a.m.-5 p.m. Patients who choose UW Medicine benefit from our experience, expertise and the most advanced medical care available, all within one health system. Before your visit, call the customer service number listed on your insurance card to find out if your plan covers these fees billed by hospital-owned clinics. Cp Tr Gip Ti Chnh Phone:206.520.0400 or 1.855.520.0400 You may pay by phone for care received at the following locations: Access the payment portals and other information for our UW Medicine partners: Understanding your healthcare costs can be a challenge. View the standard charge listing for UW Health University Hospital, American Family Childrens Hospital and UW Health East Madison Hospital: Standard charges (xlsx), View the standard charge listing for UW Health SwedishAmerican Hospital: Standard charges (xlsx), HealthCare Financial Management Consumer Guide. Do I need a referral to see a UW Health doctor? Log into ProviderOne. The UW-System facilitates selection of an insurance plan, offered by Student Assurance Services (SAS) to coordinate and manage the enrollment and eligibility process . Please see our Locations and Clinics page for clinic hours, in addition to urgent care and immediate care locations and hours. If you use MyChart there is also no need to change anything as your information is already available in MyChart. A family member or close friend (primary support) can accompany you to your appointments. Change State Account and Caregiver Access 6 Alternative Languages 1 Behavioral Health Resource Center 3 Benefits & Claims 80 Customer Support 47 Dependent Care 7 Can set up payment plans and save credit card information for future payments concerns early before become. 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