We understand that paying for healthcare can be a big concern, and we’re committed to providing you with as much information as possible so that you’ll know in advance what care will cost and can make informed decisions.
Your out-of-pocket costs may depend on several factors including:
- The services or procedures you receive
- Your insurance provider
- Your specific health benefits policy including expenses, such as your deductible, co-insurance and co-payment and the limit of out-of-pocket expense requirements,
- Your eligibility for financial assistance
For more detailed information regarding charges or your estimated out-of-pocket expense for any procedure, we recommend that you contact one of our financial services counselors. They can provide a comprehensive estimate based on your insurance and benefits information and/or your personal financial situation. Our financial services counselors can help you understand what’s covered by your specific health insurance benefits policy, expenses such as deductibles, co-insurance, co-payment and limits on out-of-pocket expenses. In addition, if you don’t have insurance, we can help you determine your eligibility for free or low-cost insurance, as well as governmental assistance. We can also help assess whether you qualify for financial assistance. Call 845-348-2323 to request this service.
Hospital & Physician Charges
For services provided at Montefiore Nyack Hospital, you’ll receive separate bills for professional charges from providers such as anesthesiologists, pathologists, oncologists or other specialists who have contributed to your care. For a list of physician groups with which Montefiore Nyack Hospital has contracted, click here.
You’ll also receive a separate bill for hospital charges. These charges include the cost of providing all other aspects of your care that are billed separately from provider services, such as hospital stay, support staff, supplies and medications. In addition, if your care was provided by a doctor who’s affiliated with Montefiore Nyack Hospital but also has a private practice, you may receive separate bills from this doctor, which is typical billing practice.
Our Standard Charges
Charges are the dollar amount a provider sets for services before negotiating any discounts. The charge is different from the amount paid. Patients covered by Medicare, Medicaid and commercial insurance plans and patients without insurance who qualify for financial assistance never pay full charges. For patients who are uninsured but don’t qualify for financial assistance, we offer steeply discounted prices.
We want to let you know that a new rule requires hospitals to maintain and make available a list of their standard charges for items and services provided. These standard charges don’t reflect or represent how much you’ll have to pay, nor do they reflect the actual payment a hospital will receive for those items and services. You can download lists of our charges:
Participating Insurance Plans
A list of insurance plans participating with Montefiore Nyack Hospital is provided for you here. Please note that some providers who may be involved in your care may not participate in the same insurance plans covering care at Montefiore Nyack Hospital. For that reason, we recommend you check with the physician arranging for your hospital services to determine if he or she participates in a plan that covers your care.