Understanding Hospital Charges

Medical billing made easy

Medical billing can be confusing. From health insurance to hospital charges and physician fees, there are a number of factors that impact what patients pay for services and procedures. Before your upcoming hospital visit or scheduled procedure, the best thing to do is to talk with a Baton Rouge Rehab team member who can provide you with an estimate of what you will owe. Their estimate will be based on your health insurance coverage and the contracted rate your insurance company has with the Baton Rouge Rehab, called a contracted fee schedule.

Get an Estimate

Before your visit, it’s a good idea to get an estimate of how much your procedure will cost and what you will owe. Call (225) 381-6276.

It Starts with Health Insurance

If you have health insurance, the billing process begins when Baton Rouge Rehab Hospital receives your insurance policy information, including policy number and the name and address of your insurance company. Once we receive this information, Baton Rouge Rehab Hospital files a claim with your insurance company on your behalf, notifying your health insurance company of your upcoming visit.

Insurance

BRRH has contracts with insurance companies that determine the amount that will be paid for certain procedures, often making out-of-pocket payments lower than they would be without the contract. The best way to understand all the factors affecting what you will have to pay is to contact your insurance company directly.

Medicare

Not everyone with Medicare has the same type of coverage. And while Medicare will pay for many of your healthcare expenses, there may be some that aren't covered. The best way to be sure of what your Medicare plan covers is to call 1-800-MEDICARE, or visit the website at www.mymedicare.gov.

Medicaid

Contact your local Medicaid office at 1-888-544-7996, or visit the Louisiana Department of Health to determine all the factors affecting your financial responsibility. In general, Medicaid recipients are not responsible for any portion of their hospital bill.

No Insurance

Patients without insurance coverage are encourage to contact the hospital at 225-927-0567 for an estimate of how much your treatment will cost.

Insurance FAQs

Keep in mind that every insurance plan is different. Some plans require co-pays, some include deductibles, and some require both (or neither!). The answers below are intended to provide basic, generalized information about how many insurance plans work, but they are not universal.

What is a co-pay?

An upfront payment for your hospital visit required by some insurance plans. Examples of copays are set amounts paid at ER visits or doctor’s office visits.

What is an Explanation of Benefits (EOB)?

A document from your insurance company that outlines what they are paying on your behalf.

What is a deductible?

How much of your costs your insurance plan expects you to pay in a year before your plan starts splitting the costs.

What counts towards my deductible?

It depends on your insurance plan. Usually most out of pocket medical expenses such as copays, payments on medical bills, and prescriptions count towards your deductible.

What is co-insurance?

The portion of care expenses you are responsible for after you have met your deductible. This amount is a percentage of the amount that was billed to your insurance company based on the contracted fee schedule.

What is an out-of pocket maximum?

This is the most you will pay each year for medical expenses per your agreement with your insurance company.

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