What to Expect
When you are admitted, an admitting representative will ask you to complete and sign several forms including a consent form for hospital admission and medical treatment and a financial form, which among other things, allows KMC to bill your insurance carrier directly. Expect the admissions representative to request a form of payment to cover any co-pay or deductible required at admission time. An identification bracelet will be placed around your wrist.
What to Bring
•Pajamas (if you do not wish to wear the provided patient gown)
•A robe and slippers
•Toothbrush and toothpaste
•Comb or brush, non-electric shaving equipment, and cosmetics
•Eyeglasses, dentures, or hearing aids, and their respective containers (labeled)
•A list of all medications (prescription and over-the-counter) that you take, with dosage and frequency information
•A pre-paid calling card or a phone card (if you plan to make any long distance calls)
•Your social security number, your insurance information (name of carrier, policy number, card), and pre-certification (in writing) from your health insurance company
What Not to Bring
•Large sums of cash
•Valuables or Jewelry
•Electrical devices, such as laptop computers, cellular phones, and hair dryers
Discharge & Departure
Your physician will decide the actual day of your discharge depending on your physical condition and discharge needs. Your physician will notify you and other members of the health-care team in advance of your expected discharge date.
At the Appointment
•Be prepared to pay any insurance copayments and/or deductibles
•Bring the following information with you to help you fill out any necessary paperwork:
•Valid photo ID
•KMC Hospital patient number, if available
•Your social security number
•Insurance card, including your policy number and/or Medicare or Medicaid card
•Your employer’s name, address and phone number (if you are insured through your employer)
•Managed care referral authorization – this is necessary if you are covered by a managed care plan in which a physician referral is required
•Name, address and phone number of your referring or primary care physician
•Any forms you were asked to complete prior to the appointment
•Any medical information requested by Mass General, such as radiology results and lab diagnostic test results. This is especially important if you are coming for a second opinion.
When you arrive at KMC Hospital (“KMC”), outpatient center or other facility, you will be required to register. During registration, you will be asked to provide information about yourself and your insurance coverage. This information will be stored in a computer file with a designated account number linking your medical and billing records.
After services are provided, KMC processes all primary and secondary insurance claims and produces a billing statement. You will receive letters from your Insurance Providers:
KMC Hospital accepts most health insurance plans, including Medicare and Medicaid.
Before scheduling your hospital visit, check with your health insurance provider to see if you are covered and learn the specifics of your coverage. Insurance plans are agreements made between you and your insurer, and KMC Hospital cannot ensure that an insurance provider will pay for your care. It is your responsibility to understand what types of coverage your health insurance provides and to be sure that you meet all requirements stipulated by your specific plan.
Your health insurance provider will be able to inform you of your level of coverage and what, if any, co-payments, coinsurances and deductibles will be your responsibility. If you do not contact your provider, you can be ultimately be responsible for all or a large portion of your bill.
Managed Care and Prior Approvals
If you are enrolled in a managed care group, such as an HMO or PPO, you might need a referral from your primary care physician. Please contact your physician for authorization before your appointment, elective procedure or admission to the hospital. Depending on your insurance provider you might be required to pay a deductible or copayment. In some cases, a deposit can be required. An admitting office coordinator will discuss any deposit details with you.
The staff in the Admitting Office notifies insurance companies of a patient’s pending surgery or hospital admission to obtain prior approval. During this process, someone from the admitting office will contact patients to ensure any necessary information has been received. If you have any questions concerning this process, please call the KMC Hospital Admitting Office at 812-284-6100