Billing and Financial Services

At Hospital for Special Care (HSC), we know that the financial aspects of healthcare can be complicated. From understanding insurance coverage, to reading insurance explanation of benefits and billing statements, as well as applying for financial assistance, our Patient Account Representatives are here to help our patients and families.

Inpatient Admissions

Prior to admission, admission staff members will work with patient and patient’s families to verify health insurance benefits and patient responsibility amounts. With the goal that patients and families can then consider the financial impact of the anticipated admission to HSC.

Once patients are admitted to HSC, we continue to help with financial questions or concerns. Patients’ Case Managers or Social Workers can offer guidance in contacting the appropriate Patient Account Representatives to follow up on questions or concerns.

Outpatient Visits

Prior to initial visit, outpatient registration staff will work with patient and patient’s families to verify health insurance benefits and patient responsibility amounts. With the goal that patients and families can then consider the financial impact of the anticipated visit(s) to HSC. Estimates can be provided upon request.

Once patients are part of the HSC family, we continue to help with financial questions or concerns. Outpatient registration staff or nursing staff can offer guidance in contacting the appropriate Patient Account Representatives to follow up on questions or concerns.

Assistance with Financial Concerns

The Patient Account Representatives provide assistance with:

  • Reviewing HSC and insurance statements.
  • Accepting a credit card payment over the phone.
  • Creating a no-interest payment schedule.
  • Providing assistance and information regarding the Financial Assistance Program and other local assistance programs.

To speak with a Patient Account Representative - please reach out Monday – Friday from 8:00am to 4:30pm. If unable to call during this time, each Patient Account Representative maintains a confidential voice mailbox. Please leave a message and callback number for the next business day.

Inpatient Services for Patients with Last Names Beginning with:

A through F - 860.832.6265

G through N - 860.827.4717

O through Z - 860.827.4714

All Medicaid - 860.827.4813

Outpatient Services for Patients with Last Names Beginning with:

A through F - 860.832.6265

G through N - 860.827.4717

O through Z - 860.827.4714

 

Mailing Address:

Hospital for Special Care
Patient Financial Services
2150 Corbin Avenue
New Britain, CT 06053

Financial Assistance Program:

HSC has a Financial Assistance Program for patients who have exhausted other payment options. Patients may apply for reduced-payments for health care services, based on income levels and family size. The program has a formal process for review and approval by Hospital administration. Eligibility criteria will be based on the annual update of the Health and Human Services Poverty Guidelines published in the Federal Register. To be considered for financial assistance, patients and families must complete an application and provide required documentation of income and assets.

Download a financial assistance application:

For assistance or questions regarding the application – Please call the appropriate Patient Account Representative listed above.

Billing and Collections

Hospital for Special Care participates in most insurance networks and will file your claim for services with your authorization to assign the benefits to the hospital. Co-Pays or deposits may be requested prior to elective services being rendered. The amount not covered by insurance is the responsibility of the patient, guarantor or designated responsible party.

Facility Charges:

HSC maintains physician offices within the hospital; in addition to physician service charges, facility charges may be billed.

The amount that each patient will be responsible for (such as co-pays) will depend on the medical services actually provided to you during an outpatient visit and the terms of your health insurance plan. Facility charges are intended to cover the hospital’s operational expenses (such as equipment, medical supplies and staff), and may be charged in addition to charges for your physician’s professional medical services. Depending on the services you received, the amount of your personal liability may have been lower if services were provided at a facility that is not owned or operated by a hospital.

Please contact your health insurer with questions about these charges and the amount you may be expected to pay after your insurance benefits are applied, including any deductible. If you would like to receive an itemized bill or compare these charges with the rate that Medicare would typically pay for these services, please contact the appropriate Patient Account Representative listed above. This section does not apply to patients whose care is being paid for under Medicare, Medicaid or workers’ compensation benefits.

Please note: It is possible to have multiple accounts open at the same time if you receive services on multiple days or in different areas of the hospital.

HSC’s Billing and Collection Policy can be viewed here.

Budget Payment Plans:

HSC maintains a payment plan option for patients who may have difficulty paying their account balance in a single installment. Please contact the appropriate Patient Account Representative listed above.

Medicare Cost to Charge Ratio (CCR):

Section 19a-509(b) of the Connecticut General Statutes requires that hospitals publish the hospital’s cost-to-charge ratio.

As of 10/01/2016 Hospital for Special Care’s inpatient cost to charge ratio is 0.588.

Nondiscrimination and Emergency Medical Care

Hospital for Special Care does not have a dedicated emergency department. HSC Medical Staff will appraise emergencies, provide initial treatment, and refer or transfer an individual to another Hospital, when appropriate, without discrimination and without regard to whether the individual is eligible for Financial Assistance.

Hospital for Special Care will not engage in actions that discourage individuals from seeking emergency medical care, such as demanding that an individual pay before receiving initial treatment for emergency medical conditions or permitting debt collection activities that interfere with hospital’s appraisal and provision, without discrimination, of such initial treatment.