Quote:
Originally Posted by Buckeye Bob
Don't know how many ways I can say the same thing. í*¾í´
1. Shands does not accept the Advantage Plan with or without an out of network approval.
2. Shands does not accept cash payments from an insured person.
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I could not find evidence of either point on the Shands website, but I did find the following information:
"1) Most health insurance companies, as well as Medicare, pay UF Health directly. Any portion of your hospitalization or care not covered by insurance will be your responsibility.
2) Coordination of Benefits (COB)
Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are covered under two or more insurance policies. This usually happens when both husband and wife are listed on each other’s insurance policies, or when both parents carry their children on their individual policies, or when there is eligibility under two federal programs. This also can occur when you are involved in a motor vehicle accident and have medical insurance and automobile insurance. Most insurance companies have COB provisions that determine who is the primary payer when medical expenses are incurred. This prevents duplicate payments. COB priority must be identified at admission to comply with insurance guidelines. Your insurance may request a completed COB form before paying a claim and every attempt will be made to notify you if this occurs. The hospital cannot provide this information to your insurance company. You must resolve this issue with your insurance carrier for the claim to be paid.
3) Medicare
UF Health Shands Hospital and the University of Florida are approved Medicare providers. All services billed to Medicare follow federal guidelines and procedures. Medicare has a Coordination of Benefits clause. At the time of service you will be asked to answer questions to help determine the primary insurance carrier paying for your visit. This is referred to as an MSP Questionnaire and is required by federal law. Your assistance in providing accurate information will allow us to bill the correct insurance company. Medicare deductibles and co-insurance are covered by your secondary insurance. If you do not have secondary insurance you will be asked to pay these amounts or establish a payment plan. If you are unable to pay these amounts, we will help you determine if you qualify for a state-funded program."
Most hospitals will provide a list of insurances they accept, or the General type of information I found and noted above.
It would be very unusual for a major teaching hospital to NOT take MA plans. Teaching hospitals need educational material (I.e., patients) for Med students, residents, faculty and researcher.
I've run two, and know Shands well, but times change I guess.
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