This is a complex question that depends on the payor. Even when the insurance company considers UH Seidman Cancer Center “out of network,” some level of coverage is often available.
When possible, the financial counselor does the preliminary research to get the information needed and helps the family make a plan.
Sometimes a precertification or referral is required, depending on the selected treatment and the payor. Our financial team includes precertification specialists who will investigate the insurance company’s particular requirements and let the patient know what is needed.
Each payor has its own rules for pharmacy services. We help patients navigate and understand these requirements.
We help the patient’s care team determine the best course of action for care after a hospital stay. It might include home care, hospital outpatient care or a combination of both. Home care has its own charity program.
Our financial advisors are experts in understanding financial documents. We take the time to work with patients and their loved ones, defining and explaining payment options, and answering questions.
Yes. The financial counselor helps the patient work through the payment process.