Every insurance plan and carrier is different. Even if Phelps has a coverage agreement with your insurance carrier, it is very likely that they have many different plans and not all of them will be included. So even if your insurance company is on our list of accepted plans, you should still check with them to make sure your services will be covered.
You should know: Any doctor employed by the hospital (not independent) is part of Phelps Medical Associates. Their services will be billed separately. You should still check with your carrier to make sure your specific plan will cover you.
Please refer to this list of accepted plans, as well as further explanation of your responsibilities as an insured patient.
For a list of insurance plans accepted by Phelps Medical Associates please visit their website.
Authorization of services from your insurance plan
Health insurance coverage is a contract between you and your insurance company. Many insurance companies require prior authorization before a procedure. Before your arrival at the hospital for tests and procedures, you should contact your insurance company to get more information. Please check that your doctor has gotten the necessary authorization or pre-certification for your scheduled procedure. Without authorization, your insurance company may impose penalties or deny your claim, or you may be asked to reschedule your appointment.
Co-pay and deductibles may apply for your care
Although Phelps Hospital may be covered by your insurance provider, you may still be responsible for a deductible, co-payment, or co-insurance. If the exact amount hasn’t been determined, you will be asked to pay the estimated amount and you will receive a bill for the balance. If services are not covered by your insurance, you will be asked to pay in full. You can pay at the department where you received the services, or you can visit the Cashier’s Office near the main entrance. Phelps accepts cash, checks, and major credit cards. There is an ATM near the cafeteria on the ground floor.