75 North Country Road, Port Jefferson, NY 11777 • 631.473.1320
Patient Financial Services
Thank you for choosing John T. Mather Memorial Hospital.
Click here to MAKE
A PAYMENT ONLINE. Click here to view FREQUENTLY
ASKED BILLING QUESTIONS.
We hope this page provides answers to your questions regarding
your hospital account. For further information, please
contact our billing department at 1-631-476-2801.
 Business Office:
Hours: 8:00am-4:00pm (Monday-Friday)
Location: The Medical Arts Building-Suite #104
Mail Payments:
John T. Mather Memorial Hospital
P.O. Box 5784
Hicksville, NY 11802
Your Hospital Bill
Below is an example of a John T. Mather Memorial
Hospital bill. Click on the red
numbers (for example,
#7, “Account
Number”) and
a brief description of that section will appear. If you
have received one of these bills and have questions about it,
you can call 631-476-2708 during office hours (Monday-Friday,
8 am – 4 pm).
MAKE A PAYMENT ONLINE
 Frequently Asked Questions
- Can I pay my balance off in a payment
plan?
Some patients
are unable to pay balances in full and need extended time
to pay for services. John T. Mather Memorial Hospital offers
short-term financing options to assist in these situations.
All patients qualify by agreeing to accept the terms of the
John T. Mather Memorial Hospital payment program.
Please contact
the 631-476-2801 option #7 (Credit/Collection Department)
to establish a payment arrangement.
Note: Sending a partial payment does not establish a formal
payment plan.
- John T. Mather Memorial Hospital
Credit & Collection
Practices
Insurance claims are submitted within days
of service to Medicare, Medicaid, Commercial, Managed Care,
Liability and other carriers.
Patients who have the ability
to pay are expected to pay any known co-pays, deductibles
and non-covered amounts when services are received. All requests
for payments are based upon estimated amounts and are not
considered final billing totals. A statement of any remaining
balance will be sent once your insurance company has processed
your claim. The balance is due and payable upon receipt of
your statement. Insurance claims are submitted as a courtesy
service and do not relieve patients of financial obligations.
If
a patient’s account(s) become past due, John T.
Mather Memorial Hospital may pursue outside collection activity,
including legal action, if necessary.
- What is the difference between
a Hospital bill and a Doctor bill?
Many diagnostic
tests and procedures performed at John T. Mather Memorial
Hospital consist of two parts:
• Technical (Hospital Services)
• Professional (Physician Services)
You will receive separate bills for Technical and Professional
service rendered at John T. Mather Memorial Hospital. Please
contact the Business Office at (631) 476-2801 for all Technical/Hospital
billing questions and (631) 686-7689 for all Professional/Physician
billing questions.
The
following hospital-based physician specialists bill independently
from John T. Mather Memorial Hospital and may or may not
participate in the same insurance plans as the Hospital:
• Radiologists-Radiology Consultants of Long
Island- (631) 232-4000
•
Anesthesiologists-Long
Island Anesthesia - (631) 744-3671
• Pathologists-LI Pathology Consultants -
(866) 434-9547
If you have any questions regarding the insurance
participation of the above groups or their bills, please contact
them directly at the numbers listed above.
- Has my secondary insurance been
filed?
Upon receipt
of the primary insurance payment or denial, secondary claims
are processed. Typically, the secondary claim is submitted
with the primary insurance explanation of benefits, payment
or coverage within days of notification.
- Has my insurance company paid the
claim and, if so, how much?
Once your insurance
company has processed your claim, they will send you an
explanation of benefits. The explanation will provide payment
amounts, adjustment amounts and any denials associated
with your benefit plan.
- What is a deductible?
It
is a predetermined amount of money that a person commits
to pay before the Insurance Company is responsible for any
benefit payments.
- What is the difference between
coinsurance and co-payment?
A
co-payment is a required payment by the insured to pay a
set or fixed dollar amount (i.e. $35, $50, etc.) each time
a particular medical service is provided.
Co-Insurance is the portion
of medical costs that are shared by both the insured (the
patient) and the insurer.
- New York State Surcharge
Please be aware that our
facility is required by the federal government to add an
9.63% surcharge to all inpatient and outpatient hospital
bills.
Accounts exempt from the NYS Surcharge: Medicare, Medicaid,
Federal Employees and outpatient lab fees.
- Does John T. Mather Memorial Hospital
accept my insurance?
Please contact your insurance carrier to confirm if our facility
participates with your insurance company. Most insurance
companies provide their contact information on the back-side
of the patient’s
insurance card.
- What if I forgot my insurance card
when I came to Emergency Room?
The Emergency Room will provide you with a “No
Insurance Card” form that will need to be completed
and returned to the Business Office within 48 hours of your
visit. If for any reason you lose this form please contact
(631) 473-1320 Extensions: 4342 or 4243.
- What if I receive a denial due
to a Coordination of Benefits?
If an insurance carrier denies your claims due
to a COB (Coordination of Benefits) please contact your insurance
carrier immediately. If your insurance carrier sent information
to your home requesting additional information necessary
for them to process and pay your claim please contact them
in order to avoid total financial responsibility for your
unpaid claim.
- Where can I get a Student Status
Forms?
If your insurance
carrier requires a Student Status Form for your son/daughter
who is a full time student at a college/university please
contact the college/university Bursar’s Office to request
a Student Status Form. The Student Status Form must be completed
by the college/university your son/daughter is attending.
The completed form must have a raised university seal on
it. After you obtain the completed form with a raised seal
please forward it to your insurance carrier.
- What is a Financial Counselor?
A Financial Counselor is a member of Mather Hospitals’ Patient
Admitting Services team who is dedicated to assisting patients
in identifying and/or determining healthcare coverage or
sources of reimbursement that may be available to them,
whether from commercial insurance or government programs.
As a not for profit healthcare provider, it is imperative
for both patient and hospital, that any and all means of
reimbursement for hospital services are identified. Our
financial counselors work closely with patients as early
in the admitting process as possible to ensure that the necessary
documentation, research, and approval can be completed before
services are provided.
Financial Counselor
Hours: 7am-7pm/Monday-Thursday
11am-7pm Friday
8:00am-3pm Sunday
(631) 473-1320 Extension 4310
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