Transplant Center
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Financial planning is an important
aspect of the transplant process. Each
transplant program has a financial
coordinator that will help you understand
the cost of transplantation, your
individual transplant benefits, and the
overall transplant financial process
that is required for all patients.
Financial planning is a task that each
patient should participate in with the
help of the transplant financial coordinator.
You will need to know how
much your insurance will pay for each
transplant phase (evaluation, transplant
admission, post-transplant care)
and for medications after transplant. It
is unlikely that one single source will
cover all of these costs. Often it is necessary
to draw on savings accounts,
investments, federal and private assistance
options and fund-raising. The
financial coordinator is available to
answer questions about insurance coverage
and to assist you in identifying
financial resources available to you.
Before you come to Emory for your evaluation, call your insurance carrier to see if your plan covers transplantation. Request a copy of your benefits for transplantation including deductibles and co-payment amounts. If you are covered by Medicare, refer to the current Medicare handbook for deductibles and co-payment amounts.
CALL THE FINANCIAL COORDINATOR BEFORE YOUR EVALUATION IF YOU:
- have any questions regarding your insurance
- do not have insurance
- do not have benefits for transplantation
- are denied coverage for a transplant
- would like to discuss other financial assistance options
During your evaluation you will meet with the social worker and the financial coordinator to discuss financial and social issues in detail. Most insurance companies require a review of your evaluation results to determine if you meet their criteria before they agree to pay for a transplant. You will be asked to sign a consent form authorizing Emory to release the medical information from your evaluation to your insurance company. If you are a candidate for a transplant, the transplant program will work with you in obtaining insurance approval from your insurance company. If your insurance carrier denies authorization of benefits, the transplant program will write a formal letter of appeal for you. However, please be advised that gaining insurance approval is ultimately your responsibility.
Billing
YOU WILL BE RESPONSIBLE FOR THE FOLLOWING:
- all deductibles, co-payments and noncovered services as outlined in your health plan
- any balance between charges and what your insurance carrier pays as usual and customary charges
- contact your insurer for a list of those charges and an explanation of how they are derived
- obtaining referrals and other requirements as outlined in your health plan
Authorization by your insurance company for medical services provided by Emory does not guarantee full payment of all charges.
You will receive separate billing statements with separate billing account numbers for Emory University Hospital (inpatient and outpatient hospital services) and The Emory Clinic (inpatient and outpatient physician fees).
If you happen to experience billing issues related to your physician with The Emory Clinic or your stay at Emory University Hospital, please contact the following individuals:
The Emory Clinic Customer Service Department: (404) 778-7318
Emory University Hospital Patient Accounts Department: (404) 686-7041