Insurance and Billing FAQs

Thank you choosing for Children’s National Health System for your child’s healthcare needs. We understand navigating through financial matters associated with healthcare can be confusing. The following is a list of frequently asked questions related to billing and insurance.

Questions to ask your insurance provider

  • Does my surgery/hospital stay need preauthorization?
  • What if you have a pre-existing condition?
  • What types of services are generally covered by a group health insurance plan?

Health insurance terms keywords

  • What is a deductible?
  • What is coinsurance?
  • What is authorization/preauthorization?
  • What are carve outs?
  • What is a co-payment?
  • What are definitions, benefits, limitations, and exclusions?
  • What is an HMO?
  • What is a PPO?
  • What is PSV?
  • Point-of-Service Plan or Point-of-Service Option (POS)
  • What is a benefit package?

Questions to ask the hospital

  • Why was my account placed with a collection agency before the hospital sent me a bill?
  • What date of service does this bill cover
  • Why was my bill sent to the wrong insurance
  • If I have a question about my bill, who can I contact?
  • Why do I receive two bills for each date of service?
  • Why are my out-of-pocket expenses based on my outpatient benefits?
  • What if I cannot pay my bill in full at the time of service?
  • Why do I receive a statement before the insurance has paid its portion?