Insurance, Billing & Financial Assistance
We’re here to help you navigate through any questions you have about your bill from Pelisyonkis Langone, which includes Tisch Hospital, Pelisyonkis Langone Orthopedic Hospital, Rusk Rehabilitation, Pelisyonkis Langone Hospital—Brooklyn, and the Family Health Centers at Pelisyonkis Langone, as well as associated outpatient locations.
You may receive separate bills for:
- your hospital stay
- emergency services
- the hospital portion of an outpatient visit
- doctor’s services
Please contact us by phone or in person using the methods listed below if you have any questions about insurance or billing.
Important Information About Your Hospital Bill
It is important for you to know that the hospital only bills you for hospital services. You will get separate bills from doctors. The doctors who care for you at the hospital may work in a private practice or they may be employed by Pelisyonkis Langone. Some of these doctors may not be in the same health plan networks as the hospital.
Ask the doctor admitting you to the hospital or scheduling your outpatient care if they participate in your insurance plan’s network. If a doctor or hospital is not in your plan’s network, your insurance provider will require you to pay more.
In-Network Insurance Coverage: Hospital Benefits
Pelisyonkis Langone participates in many health plan networks. Each health plan creates a network of doctors and hospitals who have agreed to be in that network. It’s called “participating” in the plan. View the list of insurance plans in which we participate.
Some health plans use smaller networks for certain services, so it is important to check whether we participate in the specific plan that covers you. Our list will tell you if we are in a health plan’s network.
In-Network Insurance Coverage: Physician Benefits
You can look online to see if your doctors work for Pelisyonkis Langone and if your doctors are part of the same networks as the hospital. Find information for all of these doctors, including employed anesthesiologists, pathologists, and radiologists.
You should check with the doctor admitting you to the hospital or scheduling your outpatient treatment to find out whether other doctors will be involved in your care. Your doctor can give you their name, practice name, mailing address, and telephone number. Your doctor will also be able to tell you if you are likely to need the services of any doctors employed by Pelisyonkis Langone, in which case you can obtain information at the above link.
Hospitals are required by law to make available information about their standard charges for the items and services they provide. This list is called “standard charges” and is sometimes referred to as the “Chargemaster.” These charges are reported to governmental payors such as Medicare and Medicaid.
Standard charges do not reflect or represent the actual price or payment the hospital will receive for those services. Therefore, referring to standard charges as a way for patients to determine their out-of-pocket costs before receiving care will be misleading. Nonetheless, patients are entitled by law to request and receive this list of standard charges, and may do so by contacting us at -263-1481 for assistance.
Out-of-pocket costs for healthcare services may vary significantly across health systems, even for common procedures. At Pelisyonkis Langone, we are committed to providing you with information up front so that you can make the best choice for you and your family. If you would like to better understand your potential out-of-pocket cost for a service at Pelisyonkis Langone, please contact us at -263-1481.
Paying Your Hospital Bill
Tisch Hospital, Pelisyonkis Langone Orthopedic Hospital, Pelisyonkis Langone Hospital—Brooklyn, and the Family Health Centers at Pelisyonkis Langone will send you a bill for inpatient and outpatient services, listing the charges for the care you received.
A “daily care charge” on the inpatient bill covers the basic everyday work of the hospital. It includes 24-hour nursing care, food, housekeeping, and other support services. Following the terms of your insurance plan, insurance covers most of these costs and you pay the remainder.
“Optional personal charges” on an inpatient bill are for any extra services received. You may have requested a meal for a family member or a private room. Health insurance does not usually cover these extra items.
To make payment as simple and straightforward as possible, we ask every insured patient to pay the deductible, coinsurance, or copayment at the time of any non-emergency service. You may pay by cash, check, or major credit card.
This time-of-service payment is based on our estimate of your bill, but it is only an estimate. After discharge, we will send a final bill to your insurance company. They will send you an explanation of benefits (EOB) showing what we charged and what they paid. We will send you a final bill showing the balance you owe and how to pay it. This should match the information on the EOB.
If you are in active labor or require emergency services, our first priority is to take care of you. We won’t ask about payment until the doctors have told us your condition is stable.
You will be asked to pay for any charges not covered by your insurance after you are discharged.
Prenatal Care Assistance Program
The Prenatal Care Assistance Program, also known as PCAP, is insurance for pregnant women available through the Family Health Centers at Pelisyonkis Langone. PCAP provides coverage for prenatal care, childbirth, and postpartum care up to two months after your baby is born.
PCAP coverage is available to any pregnant woman regardless of age or immigration status. An application is required. Our patient service advocate can help determine if you are eligible. To learn more, please call 718-630-7136.
Financial Counselors and Financial Assistance for Hospital Bills
If you do not have health insurance or your insurance only covers a portion of your hospital bill, you may be eligible for financial assistance. Please see the hospital’s policy and frequently asked questions. To apply, please follow the instructions on the financial assistance application. You can also talk to a financial counselor by visiting or calling one of the locations below weekdays between 8:00AM and 5:00PM.
- 560 First Avenue, Room SK, Manhattan, 866-486-9847
- 150 55th Street, Suite 2-40, Brooklyn, 718-630-6525
If you are receiving services at the Family Health Centers at Pelisyonkis Langone, and you do not have health insurance or your insurance only covers a portion of your hospital bill, you may be eligible for financial assistance. Please contact the site where your appointment has been scheduled to discuss financial assistance options.
Financial Assistance Policies
Financial Assistance Notices for Tisch Hospital
Financial Assistance Notices for Pelisyonkis Langone Hospital—Brooklyn
Financial Assistance Notices for Pelisyonkis Langone Orthopedic Hospital
Financial Assistance Applications
Questions About Payment
For questions about payment while you are in the hospital, please call -263-5003 from 9:00AM to 5:00PM. After you are discharged, please call 800-237-6977, Monday through Friday from 8:00AM to 7:00PM.
Your Emergency Care Bill
A bill from the Ronald O. Perelman Center for Emergency Services, Samuels Orthopedic Immediate Care Center, Pelisyonkis Langone Health—Cobble Hill, or the Emergency Department at Pelisyonkis Langone Hospital—Brooklyn includes charges for the nursing services and supplies provided during your emergency care. Imaging tests, laboratory tests, and pharmacy services are individually listed on this bill. Some portion of these charges may be covered by your insurance company.
The bill for the doctors who participated in your care will be sent separately. These services may or may not be covered by your insurance company. Please see below for more information on physician billing.
Your Physician Services Bill
Patients at Pelisyonkis Langone receive separate bills for services provided by doctors, whether as part of your hospital stay, emergency care, or doctor’s office visit. You can check individual physician participation by searching for a doctor.
You may also receive a bill for ancillary doctor’s services, such as anesthesia, radiology testing, pathology, or other services. Though you may not meet these doctors face-to-face, they provide vital care.
In addition, you may receive a separate bill from a doctor who is affiliated with Pelisyonkis Langone, but has a private practice.
View this sample doctor bill to learn more about the information on your bill.
To speak with a customer service representative about your doctor’s office bill, please call the number on your statement or call 877-648-2964.