Mount Sinai Queens Bills FAQ

The staff at Mount Sinai Queens strives to make patients and their family and friends feel welcome and comfortable during their stay. We also want to alleviate any billing concerns you may have.

Please review the following Frequently Asked Questions about hospital bills. If you still have questions at any time about your bills, your insurance, or your ability to pay, please call the Mount Sinai Queens Patient Financial Services Office at 718-906-6250, Monday through Friday from 8:00 A.M. to 4:30 P.M.

 

What bills can I expect from the hospital?

Each time you receive care at Mount Sinai Queens, or your doctor sends a lab or pathology specimen to Mount Sinai Queens, a new account will be opened. Each account generally ties to a date of service. Except in cases of ongoing therapy services, insurance companies and the hospital have agreed to create a new account and submit separate claims for each visit to simplify billing and payment accounting. Your hospital bill will include a detailed description of the services provided.

When should I expect my hospital bill?

If you provided insurance information, your insurance (including Medicare) will be billed in about one week for the hospital's inpatient services, outpatient services and Emergency Department services. Once your primary insurance is billed and pays, if there is an outstanding balance, your secondary insurance (if you have one) is billed. After all insurance carriers have been billed and paid, you will receive your first bill from us with the amount that remains and is your responsibility. Often this amount represents deductibles and co-pays. Sometimes your insurance carrier will notify you when they have paid and what they have paid, but this is for your information only and is not to be confused with our bill to you. If you have no insurance, the first bill should arrive about one week after care. Every 30 days thereafter a monthly statement should arrive that will include the balance from the prior month and list payments and adjustments posted since the last statement.

Do my hospital bills include my doctor's fees?

No, physician services are not included in your hospital bill and will be billed separately. In some cases, doctors who did not directly see you will send you bills. These are specialists who worked on your case behind the scenes, for instance, in the lab, interpreting your X-rays or consulting with your physician. Examples of these physicians include pathologists, radiologists, cardiologists, anesthesiologists and other specialists who submit separate bills. If you have questions about these bills, please call the number printed on their statement.

Why was my Emergency visit so expensive? My doctor's office visits aren't that expensive?

The Emergency Room is staffed with specially trained physicians, nurses and other staff to handle health emergencies 24-hours a day, seven days a week. These fees take into account Mount Sinai Queens' continual state of preparedness. Non-emergency visits should take place at your physician's office, or at Mount Sinai Queens Family Health Associates or Senior Health Center to keep down your healthcare costs.

What if my insurance is slow in paying?

Although New York law requires most insurance carriers to pay within 45 days, many ask for additional information from the patient. As long as your carrier is asking for additional information, the 45 days has not started. Occasionally, we ask patients to call their insurance carriers if there has been some miscommunication among parties, for instance, if you have not realized that payment is being held up because you need to supply your carrier with more information.

What should I do if I get a statement from Mount Sinai Queens, but my insurance company says it has paid for the service?

First, check your statement dates. Sometimes statements and payments cross in the mail. If it appears as though sufficient time has passed to allow for posting, contact the Mount Sinai Queens Patient Financial Services Office at (718) 906-6250, Monday through Friday from 8:00 am to 4:30 pm, and verify that the payment was received.

My insurance requires I notify them when I have a hospital service or pre-certify my visit. Does the hospital call my insurance company?

The hospital will contact and pre-certify a service with any insurance company the hospital has a direct contract. Your contract with your company may require you or your physician to pre-certify. Due to the many insurance companies requiring this, please check your insurance card or employer's Human Resource department for direction. Don't risk possible financial responsibility.

I'm a Medicare patient. What else do I need to know?

Routine exams, routine tests and self-administered medications are non-covered services under your Medicare plan. Medicare has also established Local Medical Review Policies (LMRP) which determine when they will pay for a test or when you are responsible for the test. You will be informed when a test does not comply with Medicare's LMRP and the cost, so you can determine if you want to accept this financial responsibility that Medicare will not allow.

What do I do if I am unable to pay my bills or need additional help to pay them?

Mount Sinai Queens recognizes that many of the patients we serve may be unable to access quality healthcare services without financial assistance. If you need assistance paying your bill, please call the Mount Sinai Queens Patient Financial Services Office at 718-906-6250, Monday through Friday from 8:00 A.M to 4:30 PM. Our qualified staff will help determine if you are eligible for assistance programs or the Hospital's sliding fee scale.


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