Financial Services at Trinitas Regional Medical Center
Financial and insurance issues can be complex and confusing in the constantly changing world of health care. We’re here to help.
Insurance
We accept most types of insurance. As a new patient, you should contact your insurance provider for a written copy of your insurance policy. This information can help you make informed decisions about your care and will assist us in getting the information we need to process your insurance claims quickly and accurately.
Managed Care
Managed-care plans (HMO, PPO, and POS) often require you to use specific physicians, facilities and/or ancillary services. If you are covered by a managed care plan, please consult your insurance company's provided manual to determine whether Trinitas Comprehensive Cancer Center (TCCC) is a participating provider and that all your physicians are in the provider manual. Managed-care plans may require co-payments for each outpatient visit and physician involved in your care.
Cost
The cost of your medical services will depend on which services your physician deems necessary to diagnose and treat your condition. You may be covered by insurance that will pay for some portion of your medical services. Even though you are insured, you will likely be responsible for some costs of your medical services out of pocket through co-payments, deductibles, or annual or lifetime limits.
Your insurance company may require pre-authorization for some medical services. Failure to do so may result in denial of your claim by your insurance company, thus making you the responsible party for all the costs and/or penalties. TCCC registration staff will obtain the necessary pre-authorization from your insurance company on your behalf. If you are not covered by insurance and will be responsible for all medical services costs, you may want to contact our financial counselors. They will assist in estimating the costs of your initial services and inform you of the deposit policy.
Billing
You will receive multiple bills for your medical services. One bill will be for the technical charges of the care you receive. Examples of these charges are laboratory tests, CT Scans, chemotherapy infusions, and radiation treatments. Another bill will be for professional physician charges. Depending on the number of physicians involved in your care, you may receive bills from surgeons, radiation medical oncologists, radiologists, pathologists, etc.
We will bill your insurance company on your behalf for the technical charges. This requires that we have your most current and accurate insurance information. We will photocopy your insurance cards and identification during registration. We will also require you to assign benefit payments directly to TCCC. Continuing patients are responsible for advising TCCC of changes in their insurance coverage or other personal information. If you are covered by more than one insurance plan, we must have the information on each plan.
We will work closely with you and your insurance company; however, unresolved billing issues must be negotiated between you and your insurance provider. For payment, we accept cash, personal checks, Visa, Mastercard, and American Express.
If you have questions regarding a physician's bill, call the inquiries telephone number on that bill.
Financial Services FAQ
What is the role of your PCP?
The PCP is often the pivotal person in your health care. They may issue
authorizations, suggest further tests, coordinate your care, or recommend
one of our physicians for your assessment and treatment.
Do services require pre-authorization by your insurance company?
Pre-authorization from your insurance company is often required before
scheduling consultation visits, diagnostic tests, treatment, or other
clinical procedures. If your insurance plan requires pre-authorization
before medical services are provided, TCCC registration will obtain the
necessary pre-authorization from your insurance company on your behalf.
Authorizations can be forwarded by your primary care physician (PCP). We accept a copy, electronic file, or fax. Your appointment may be rescheduled if a required authorization is not received by the day before your appointment,
Do I need a referral before seeing a specialist?
Most of our physicians are considered specialists and may require a referral
from your PCP. Some referrals may allow for a specified number of visits,
while others may need to be reissued for each visit. Some referrals may
only be good for a specified duration. Your insurance plan will have this
information.
Contacting Financial Counselors
Your satisfaction and peace of mind are top priorities. Trinitas Comprehensive
Cancer Center has trained staff to assist you with insurance and other
financial issues, in addition to your clinical needs. If you have any
difficulty obtaining information or understanding your insurance coverage,
please contact financial counseling Monday through Friday, 8:00 a.m. to
4:30 p.m., at (908) 994-8914.
Contact TCCC About Technical Charges
If you have questions regarding the TCCC technical charges, please call your patient representative at 908-994-8520/8522. If you are unable to reach someone during normal business hours, leave a detailed message including your name, account number, and daytime telephone number. We will return your call the next business day.
