75 North Country Road, Port Jefferson, NY 11777 • 631.473.1320
| Insurance
and Hospital Fees |
 John T. Mather Memorial Hospital participates in various insurance
plans including Aetna, Blue Cross, Cigna Healthcare,
GHI, HIP, Island Group, Oxford, PHCS, United Healthcare, Vytra,
Medicare and Medicaid programs. Some insurance companies will
specify specific providers for certain out-patient diagnostic
services such as laboratory or diagnostic radiology. Other
insurance plans require a referral from your primary care doctor,
while other plans may require prior authorization for certain
services.
There are so many different contracts within each insurance
company. It is always wise to check your individual coverage
within your contract to avoid unforeseen expenses to yourself.
You may bring your insurance policy or booklet with you before
your scheduled treatment or admission and have one of our patient
account representatives in the business office review the information
with you. If you have questions about your coverage, we invite
you to call our patient accounts department at (631) 476-2801.
Many diagnostic procedures performed at the hospital consist
of two parts – the technical (hospital) part and the
professional (physician interpretation) part. There will be
a separate bill for each of these procedures.
For example, there will be a hospital bill for each use of
x-ray equipment, film and x-ray technicians, and a radiologist
(Doctor) bill for the professional interpretation of the x-ray.
Professional Services provided by Radiologists, Cardiologists
(EKG reading) Anesthesiologists and Pathologists are not included
in the hospital bill. These specialists may not necessarily
participate in the same insurance plans as the hospital.
We thank you for your interest in John T. Mather Memorial
Hospital and thank you for being your hospital of choice. Again,
if you have any questions regarding your insurance coverage,
please contact our patient accounts department at (631) 476-2801.
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