How do I pay my medical city healthcare bill?
To take advantage of this simple and secure online service, please click "Pay My Bill" above. Medical City Healthcare makes no guarantees regarding the accuracy of the pricing information provided herein.
How do I receive Medicare and Medi-Cal?
If you have both Medicare and Medi-Cal, how you receive your benefits depends on the county you live in. For Medicare benefits, you may choose fee-for-service Original Medicare in all counties, or a Medicare Advantage (MA) plan, if available in your county.
How does Medicare pay for your health insurance?
After you pay a deductible, Medicare pays its share of the Medicare-approved amount, and you pay your share (coinsurance and deductibles). A type of Medicare health plan offered by a private company that contracts with Medicare.
Does Medical City work with my insurance company?
With accurate information, Medical City can expedite forwarding your claim to the appropriate insurance company. We will file with your primary and secondary health insurances. Members of managed care plans should check with the insurance prior to scheduling an appointment to ensure participation of our hospital.
What is pricing transparency?
"Pricing transparency" is the term used to describe initiatives in the healthcare industry designed to provide meaningful pricing information to co...
How do I obtain a patient estimate?
You can obtain an estimate online using our Patient Payment Estimator online tool, which will ask you for a few pieces of important information, su...
What services are included in my estimate?
If you are viewing estimates provided on this website, the pricing includes estimated room and board (for inpatients), supplies, nursing care, equi...
What services are excluded in my estimate?
Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can i...
What does "uninsured" mean?
It means a patient does not have insurance coverage for hospital services by a third party like Medicare, Medicaid, Workers Compensation or another...
What information do I need to have available to obtain an estimate?
It is a good idea to contact your physician's office to get the best description possible of the services that you need. Then, if you have insuranc...
Can I get an exact pricing quote?
Unfortunately, we are not able to provide an exact pricing quote pre-service. We will do our best to provide you with a pricing range based on our...
What is expected of patients in terms of payment?
Similar to your visits to your physician's office, we request payment at time of service. If you have insurance or other coverage, you will be aske...
Do you have a financial assistance policy or charity policy?
We provide free hospital care for patients that have received non-elective care, who do not meet qualifications for Medicaid, and whose income is l...
How does the insurance billing process work?
If you are insured, a claim will be sent to your insurance company. After they receive the claim, the insurance company may contact you for additio...
How long does it take for a hospital bill to be paid?
Hospital bills are normally submitted to your insurance company within 4 days of discharge or outpatient service. After your insurance makes their payment, you will be notified of your portion.
How long does it take to pay HMO insurance in Texas?
Texas law requires HMO and PPO to pay all claims within 45 days. Depending on the amount of your claim, our billing office will contact your insurance to check on the status of the payment. If your HMO/PPO fails to pay your claim within 45 days, we will notify you with a letter and request that you follow up with your insurance company to see if the claim is pending additional information from you. If no payment is received within the next 30 days, you will receive another letter notifying you that the account may be referred to our outside agency for collections.
Who is not responsible for billing, contracting, or collection of services?
Pathologists. Anesthesiologists. The hospital is not responsible for the billing, contracting or collection of these services. These groups may not be contracted with your insurance carrier. If your insurance carrier does not contract these groups, you may be responsible for payment to the providers.
Patient Benefit Advisors
Patient Benefit Advisors are available to evaluate your eligibility for various Local and State Programs, including County Assistance and Medicaid. (800) 980-5794
Charity Discount Policy
Medical City Healthcare has a Financial Assistance Policy that provides free hospital care for patients who have received non-elective care, do not meet the qualifications for Medicaid and whose income is less than 200% (in most cases) of the Federal Poverty Level.
Uninsured Discount Policy
All Self-Pay patients, excluding elective cosmetic procedures and facility designated self-pay flat rate procedures, will be given an Uninsured Discount. Access our full Uninsured Discount Policy.
Payment
Similar to your visits to your physician's office, we request payment at the time of service or when you pre-register. If you are ineligible for Medicaid or Financial Assistance and cannot pay your entire estimated bill, we will work with you to set up payment arrangements.
Prior To Your Call
Before calling, please contact your physician's office to get the specific diagnosis or procedure description.
What is not included in our estimates?
The estimates provided are only related to your hospital bill. Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists, and radiologists.
PreRegistration
When you have made an informed decision and are ready to proceed with services at our facility, you should contact your physician's office to ask to have your service scheduled.
Our commitment
Our hospital is committed to providing useful information to our patients so you can understand the financial side of your healthcare needs.
Have an outstanding balance?
If you have received a statement from us showing that you have a balance due, you can pay online through this resource.
What is pricing transparency?
"Pricing transparency" is the term used to describe initiatives in the healthcare industry designed to provide meaningful pricing information to consumers. The healthcare industry is often complex and difficult for patients to navigate.
How do I obtain a patient estimate?
You can obtain an estimate online using our Patient Payment Estimator online tool, which will ask you for a few pieces of important information, such as if you have health insurance and the services you are considering, in order to produce an estimate just for you.
What services are included in my estimate?
If you are viewing estimates provided on this website, the pricing includes estimated room and board (for inpatients), supplies, nursing care, equipment use, medications administered during your service, nutritional services, and any services handled by the staff of the hospital within the walls of the hospital.
What services are excluded in my estimate?
Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists and radiologists.
What does "uninsured" mean?
It means a patient does not have insurance coverage for hospital services by a third party like Medicare, Medicaid, Workers Compensation or another insurance company. Other common terms used when referring to uninsured patients are self pay and private pay.
What information do I need to have available to obtain an estimate?
It is a good idea to contact your physician's office to get the best description possible of the services that you need. Then, if you have insurance, contact your insurance company and make sure that the services required are covered services under your specific plan.
Can I get an exact pricing quote?
Unfortunately, we are not able to provide an exact pricing quote pre-service. We will do our best to provide you with a pricing range based on our hospital's historical pricing for comparable services.
Charity Discount Policy
Financial relief may be available to patients who have received non-elective care and do not qualify for state or federal assistance and are unable to establish partial payments or pay their balance. In most cases, this will apply to patients who fall between 0 - 200% of the Federal Poverty Level.
Income Verification
For Medicare beneficiaries, in addition to thorough completion of the Financial Assistance Application, the preferred income documentation will be the most current year's Federal Tax Return.
Uninsured Discount Policy
All Self-Pay patients, excluding elective cosmetic procedures and facility designated self-pay flat rate procedures , will receive discount similar to managed care, referred to as an "uninsured discount".
How much does Medi-Cal pay for medical expenses?
Your SOC is determined according to your monthly income, using the following formula: Medi-Cal subtracts $600 (for an individual) or $934 (for a couple) from your monthly income, and any other health-insurance premiums you may be paying.
How much does Medi-Cal pay for SOC?
For example, if you have an individual monthly income of $1,300, Medi-Cal subtracts $600 for a SOC of $700 . This means you must pay at least $700 in covered medical expenses and/or health care premiums in a given month before Medi-Cal covers any of your health care costs for that month.
What is Medicare Part D?
2. Prescription Drugs. If you are receiving both Medicare and Medi-Cal benefits, the Medicare Part D drug benefit will provide your prescription-drug coverage instead of Medi-Cal. You must be enrolled in a Medicare Part D drug plan or a Medicare Advantage prescription drug plan to get these benefits.
Which MA plan works best for people with Medicare and Medi-Cal?
If you choose an MA plan, the MA plan that works best for people with both Medicare and Medi-Cal is the Special Needs Plan (SNP) for dual eligibles or D-SNP. If you’re enrolled in a D-SNP, you do not have copays, coinsurance or premiums associated with other types of MA plans.
What is Medi-Cal for Medicare?
Medi-Cal (for People with Medicare) Medi-Cal, the Medicaid program in California, provides health coverage to people with low-income and asset levels who meet certain eligibility requirements. While there are several ways to qualify for Medi-Cal, this section focuses only on Medi-Cal beneficiaries who also qualify for Medicare — individuals who are ...
How much does a person need to be to qualify for Medi-Cal?
To qualify for SSI, you must be age 65 or older, blind or disabled. Your countable monthly income may not exceed $954.72 for an individual or $1,598.14 for a couple (higher income levels apply for individuals who are blind).
How long does it take to get Medi-Cal?
Processing your application can take several weeks because Medi-Cal must first determine eligibility by verifying your income and personal assets before coverage can be approved. You may request Medi-Cal to pay retroactively for the three months prior to the month in which you apply. back to top.
Which pays first, Medicare or Medicaid?
Medicare pays first, and. Medicaid. A joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid. pays second.
What is original Medicare?
Original Medicare. Original Medicare is a fee-for-service health plan that has two parts: Part A (Hospital Insurance) and Part B (Medical Insurance). After you pay a deductible, Medicare pays its share of the Medicare-approved amount, and you pay your share (coinsurance and deductibles). or a.
Does Medicare have demonstration plans?
Medicare is working with some states and health plans to offer demonstration plans for certain people who have both Medicare and Medicaid and make it easier for them to get the services they need. They’re called Medicare-Medicaid Plans. These plans include drug coverage and are only in certain states.
Does Medicare Advantage cover hospice?
Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding hospice. Medicare Advantage Plans include: Most Medicare Advantage Plans offer prescription drug coverage. . If you have Medicare and full Medicaid, you'll get your Part D prescription drugs through Medicare.
Can you get medicaid if you have too much income?
Even if you have too much income to qualify, some states let you "spend down" to become eligible for Medicaid. The "spend down" process lets you subtract your medical expenses from your income to become eligible for Medicaid. In this case, you're eligible for Medicaid because you're considered "medically needy."
Can you spend down on medicaid?
Medicaid spenddown. Even if you have too much income to qualify, some states let you "spend down" to become eligible for Medicaid . The "spend down" process lets you subtract your medical expenses from your income to become eligible for Medicaid.
Does Medicare cover prescription drugs?
. Medicaid may still cover some drugs and other care that Medicare doesn’t cover.