Patients & Visitors

Billing & Finance

Thank you for choosing the OSS Orthopaedic Hospital as your health care provider. We are committed to the success of your medical treatment and care.

For your convenience, we have answered a variety of commonly asked questions regarding our financial policy. If you need further information about any of these policies, please ask to speak with one of our Patient Accounts Representatives.

How May I Pay?

We accept payment by cash, personal check, or credit card. A $25.00 fee will be charged for all returned checks.

Which Plans Do You Contract With?

We contract with many insurance plans. If you have a question about whether we participate with your insurance company, please contact one of our patient account representatives at 717-718-2000, extension 2039.

What Is My Financial Responsibility?

Insurance is an agreement between you and your insurance company. We do not become involved in disputes between you and your insurance company regarding deductibles, co-payments, non-covered or denied services. Your financial responsibility depends on a variety of factors, and we would be happy to discuss these in person. Patient Accounts can be reached at 717-718-2000, extension 2039.

Durable medical equipment (splints, crutches, slings, etc.) may not be covered under your insurance policy and will become your responsibility if denied by insurance.

What if My Child Needs to Be Treated?

A parent or legal guardian must accompany patients who are minors (under age 18). The accompanying adult is responsible for payment of the account, according to the policy outlined below. If a minor attends follow up appointments on their own, the same payment policy will apply.

May I receive a "discount" on any of my charges?

We receive many requests to discount our fees from patients who are uninsured or underinsured. In order to address those needs we have developed a "Prompt Pay Policy" that may be applied when charges are paid in full at the time of service. This does not apply to co-payments or co-insurance which are a requirement from your insurance company. Please ask to speak to one of our Patient Accounts representatives if you think you may qualify for this discount.

If You Have.....

You Are Responsible .....

Our Staff Will....

Commercial Insurance

Also known as indemnity, regular insurance or an 80% - 20% plan.

For a minimum payment of 20% of the total for services rendered will be due at the time of service.

Submit your insurance claim for you. We will assist in any pre-certification or pre-authorization process necessary. We will collect all payments that are due following your visit.

HMO & PPO plans with which we are a participating provider.

If the services you receive are covered by the plan: All applicable co-pays and deductibles are "required" at the time of service.

If the services you receive are not covered by the plan: Payment in full is "required" at time of service.

Submit your insurance claim for you. We will assist in any pre-certification or pre-authorization process necessary. We will collect all payments that are due following your visit. If co-pays are not paid at time of service a re-billing fee will be applied.

HMO & PPO plans that we do not participate with...

For payment in full at the time of service.

Submit your insurance claim for you. We will collect all payments that are due following your visit.

Point of Service Plan or Out of Network Plan

For payment of the patient responsibility – deductible, co-pay, non-covered services – is due at time of service.

Submit your insurance claim for you. We will collect all payments that are due following your visit.

Medicare

If you have regular Medicare, and have not met your deductible, you will be billed for any balance due. Payments for any services not covered by Medicare are to be paid at the time of service.

Submit your insurance claim for you as well as any claims to your secondary insurance.

Auto Insurance

Providing accurate and complete policy and claim and accident information for your auto insurance, including your agent’s name and telephone number.

You must also provide your health insurance information in the event your policy has exhausted.

Call to verify your coverage. Submit your insurance claim for you.

Workers' Compensation

Providing accurate and complete information including your claim number, date of accident, and a contact name and number from your place of employment. You must also provide your health insurance information in the event your claim is denied.

Verify that we are an approved panel provider. Call to confirm that your claim has been reported and to verify your claim number. We will submit your claim and all required information.

We participate with most local and many national insurance plans. However it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.

Please contact our billing office at 717-718-2039 or call your insurance carrier should you have questions.