Understanding My Bill
Starting in September 2016, for each primary care visit, you will receive two bills. The purple bill is for physician (or professional) services. The green or blue bill is for the facility or hospital charge. The facility bill includes charges for medications, lab tests, X-rays, and other hospital services.
No co-pays are required for preventive care check-ups. We often address new or ongoing concerns about your child’s health or behavior in addition to the preventive care visit. Some insurance companies now require that we collect a co-pay from families when we address these extra health issues during your child’s check-up.
Children’s offers extended evening and weekend hours as a convenience for busy families. There is an additional charge during extended hours in order to help us stay open longer for your child and family.
For many families, most of these charges are covered by insurance. For a few families, some of these charges may be an added “out-of-pocket” expense. This depends on your employer-based beneﬁt plan, health insurance, and annual deductible.
If you have questions about your bill, need ﬁnancial assistance to help pay, or have to adjust your bill, please call our Children’s Customer Service Department at 301-572-3542 or 1-800-787-0021, Monday through Friday, from 9 am – 4 pm, to speak with a Children’s representative who can help answer your questions.
A payment made by the patient or individual who has health insurance, usually at the time a service is received, to offset some of the cost of care. Co-payments are a common feature of HMOs and PPOs. Co-payment size may vary depending on the service, generally with lower co-payments required for physician office visits and higher payments for emergency room visits and sometimes other hospital care. The co-payment amount is usually determined by the employer so as to ensure the patient has some financial responsibility in their overall care.
Beginning in September 2016, Children’s National Health System will be charging a facility charge for outpatient, hospital-based primary care clinic visits. The facility charge helps cover the expenses of running the facility, such as supplies, equipment, exam rooms, educational resources, counseling, and staff. Here are key facts you need to know: