Regional One Health Cancer Center is considered a “hospital-based” clinic. This designation affects how you are charged and what you may be required to pay for services at this location.
Frequently Asked Questions
What is a hospital-based clinic?
A hospital-based clinic is a licensed outpatient facility owned and operated by Regional One Health. It is a department of the hospital and therefore subject to stricter government regulation. When you see a physician or receive services in a hospital-based clinic, you are being treated within the hospital rather than in a physician’s office.
How does this affect my bill?
The Hospital’s bill may include a clinic/facility fee for the services, facilities, staff and equipment provided by the Hospital, in addition to charges for any procedures done at the clinics. You may also receive a separate bill for professional services, which could include physician and radiology fees.
Does this mean I will pay more for services at the clinics?
The addition of a clinic/facility fee means that you may have a higher out-of-pocket cost for your appointment, depending on your insurance coverage. We recommend you review your insurance benefits or contact your insurance provider to determine what your policy will pay and what out-of-pocket expenses you may incur.
What should I ask my insurance carrier?
Ask your insurance carrier if your benefit plan covers “clinic services” or “facility charges” in a hospital-based outpatient clinic and how much of the charge is covered or will be applied to your deductible. You should also ask whether your coverage and out of pocket responsibility differs for procedures done at a hospital-based outpatient clinic as compared to a physician’s office.
How does this affect a patient who has Medicare?
In a hospital-based clinic, Medicare patients will receive two (2) separate bills for services provided – one for physician services and one for the hospital services. For patients of the Cancer Center covered by government payors and out-of-network non-government payors will receive a bill from West Cancer Center for physician/professional fees and a bill from Regional One Health for other services. Depending on the services being provided, Medicare patients may incur higher out-of-pocket expenses for a service at a hospital-based clinic than they would at a physician’s office.
What If I still have questions?
Please contact Patient Financial Services at 901.545.6644 for any additional questions.