Please check with your health plan to make sure North Shore University Hospital is considered in-network for the particular service you require. Professional services are usually billed separately from facility services. Our representatives will help submit insurance claims on behalf of patients.
This hospital is an approved Medicare provider. All services billed to Medicare follow federal guidelines and procedures. Medicare has a COB clause. Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are covered under two or more insurance policies. This usually happens when spouses or partners are listed on each other’s insurance policies, when both parents carry their children on their individual policies, or when there is eligibility under two federal programs. This also can occur when you are involved in a motor vehicle accident and have medical insurance and automobile insurance.
At the time of service, you will be asked to answer questions to help determine the primary insurance carrier paying for your visit. This is referred to as an "MSP Questionnaire" and is required by federal law. Your assistance in providing accurate information will allow us to bill the correct insurance company.
Medicare deductibles and coinsurance are covered by your secondary insurance. If you do not have secondary insurance, you will be asked to pay these amounts or establish a payment plan. If you are unable to pay these amounts, we will help you determine if you qualify for a state-funded program.
As a service to our customers, we will forward a claim to your commercial insurance carrier based on the information you provide at the time of registration. It is very important for you to provide all related information such as policy number, group number and the correct mailing address for your insurance company.
For self-pay patients
Patient Financial Services Department will send statements for payment of self-pay accounts. You will receive two to three billing statements and two to three telephone calls over a 90-day period to obtain a payment or to make payment arrangements. If payment arrangements are not established and no payment is made during this 90-day period, the account will be placed with a collection agency.
If you need an itemized statement, you can obtain one by calling (516) 562-0100. If you have any questions regarding your billing statement, you can contact the Patient Financial Services Department at (888) 214-4066 (toll-free).
If you have a hospital bill and do not have health insurance coverage, you may qualify for healthcare services at reduced fees for services provided by Northwell Health facilities. For more information or to apply for financial assistance, call the Northwell Health Financial Assistance Program at (800) 995-5727, or visit us online at Northwell.edu/insurance.
If you are uninsured, you may be able to obtain health insurance through the New York State Marketplace.