Receiving medical care can be stressful enough without having to worry about hospital bills and payments. Glens Falls Hospital aims to make the billing and payment process as smooth and straightforward as possible for patients. In this comprehensive guide we’ll walk through everything you need to know about receiving, understanding, and paying your Glens Falls Hospital bill.
Overview of Glens Falls Hospital Billing
Glens Falls Hospital is committed to providing exceptional care to patients across New York’s Adirondack region. As a not-for-profit community hospital, our mission is to meet the health needs of our community
When you go to Glens Falls Hospital for care, you’ll usually get two bills: one from the hospital and one from any outside doctors who helped with your care. There are doctors who work for hospitals and doctors who work for private practices.
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The hospital bill covers use of equipment, facilities, supplies, and services from hospital staff other than doctors.
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Physician bills cover professional services like consultations, procedures, and test evaluations.
Glens Falls Hospital accepts most major insurance plans. On the other hand, private doctors who work at the hospital might not accept the same plans. Before any planned hospital services, you should check with your insurance company and doctors to make sure you are covered.
Patients who don’t have health insurance or who can’t pay their part of the hospital bill can get financial help. More on this later.
Receiving Your Glens Falls Hospital Bill
After receiving hospital services, you’ll get your bill in the mail. This typically takes at least 30 days as we submit claims to your insurance company first.
Your Glens Falls Hospital bill will include:
- Your account number
- Date of services
- Itemized list of charges
- Insurance payments made
- Deductibles, copays or other amounts you owe
Charges fall into two main categories:
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Room and care charges – Costs for your hospital room, medical supplies, nursing care, etc.
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Ancillary service charges – Any tests, procedures, therapy services, medications, special equipment usage, etc.
It’s advisable to review charges carefully for accuracy. If you find any discrepancies or have questions, contact our Patient Accounting team right away.
Options for Paying Your Glens Falls Hospital Bill
You have several options when it comes to paying your Glens Falls Hospital bill:
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Online – Easily pay your bill via credit card on the secure online patient portal.
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Phone – Call the number on your statement to make a payment over the phone.
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Mail – Send a check or money order payable to Glens Falls Hospital using the remittance slip and return envelope provided with your statement. Be sure to include your account number on the check.
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In person – Bring your payment to the Cashier’s Office at the hospital’s main campus.
We accept Visa, MasterCard, American Express, and Discover cards. Payment plans may also be arranged if needed – just ask!
Financial Assistance for Glens Falls Hospital Bills
If you are uninsured or underinsured, Glens Falls Hospital provides financial assistance to help patients pay for all or part of their bill. Assistance is based on household size, income, and available resources.
To apply for financial assistance:
- Inform hospital staff you need financial help as soon as possible.
- Complete an application and provide income documentation like pay stubs or tax returns.
- A decision will be made within 30 days of receiving a completed application and documentation.
You may qualify for free or discounted care based on your income level:
- Incomes up to 200% of the federal poverty level qualify for free care.
- Incomes between 201-300% of poverty level qualify for partial discounted care.
Glens Falls Hospital will not discriminate based on age, race, gender, sexual orientation, religion, or immigrant status when making financial assistance determinations.
Tips for Managing Your Hospital Bills
To make the billing and payment process go smoothly, keep these tips in mind:
- Provide accurate insurance information upfront.
- Inform staff if you lost insurance coverage during treatment.
- Open and read statements promptly – don’t ignore bills!
- Reach out with questions or dispute errors right away.
- If uninsured, apply for assistance before services if possible.
- Set up payment plans or short-term loans if needed.
- Negotiate bills directly with the hospital billing department.
Being proactive and communicating with hospital staff is key to avoiding headaches. We understand this process can be confusing and are here to help!
Summary of Glens Falls Hospital Bill Pay
- You’ll get separate bills from the hospital and doctors for services provided.
- Review your bills closely and follow up on any discrepancies immediately.
- Pay your hospital bill online, by phone, mail or in person.
- Financial assistance is available for those who qualify by income.
- Get in touch with any billing questions – staff can clarify charges.
- Set up payment plans if you can’t pay the full balance due.
Glens Falls Hospital aims to provide clear billing statements, payment flexibility, and financial assistance to ensure access to care. Don’t hesitate to reach out to us to make paying your hospital bills as easy as possible. Our billing staff is happy to answer your questions and work with you.
Understanding your Hospital Bill
When you are treated at Glens Falls Hospital or any hospital, you or your insurance provider will receive separate bills from the hospital itself and from any physicians involved in your care. Some of these physicians may be employed by the hospital, others may work for private practices in the community.
The hospital bill will include charges for the use of hospital equipment, supplies and facilities, as well as any services provided by hospital employees other than physicians.
Each physician (or physician practice) involved in your care may issue a separate bill for services provided, such as consultations, procedures and evaluations of medical tests.
Glens Falls Hospital is a participating provider in many health insurance plans. You can find a list of those plans here but we encourage you to check with your insurance company’s member services department to verify coverage. Some health plans use smaller provider networks for coverage of certain products and services, so exclusions may apply.
Physicians involved in your care in the hospital may or may not accept the same insurance plans as the hospital, as follows:
- Physicians employed by Glens Falls Hospital accept the same plans as the hospital;
- Private practice specialists may not accept the same plans;
- Private practice specialists with contractual agreements to provide certain services (anesthesiology, pathology, radiology) within the hospital may not accept the same plans.
We encourage you to check with your insurance company, and/or physician arranging for hospital services, if you have questions about insurance coverage. Click here to view a list of Glens Falls Hospital Contracted Services.
If you do not have health insurance, or face difficulties in paying your portion of a hospital bill, you may be eligible for assistance. To learn more, click here or contact our Financial Assistance Office at 518-926-5111.
Glens Falls Hospital Charges
Section 2718(e) of the Public Health Service Act requires that each hospital operating within the United States, for each year, establish (and update) and make public a list of the hospital’s standard charges for items and services provided by the Hospital. Effective January 1, 2021, hospitals are required to make available a comprehensive machine-readable file with all items and services offered by the Hospital and a display of shoppable services in a consumer-friendly format.
To comply with these reporting requirements Glens Falls Hospital is making available a machine-readable version of Glens Falls Hospital’s gross charges, discounted cash prices, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges ( “Hospital’s Standard Charges”) as well as a separate Display of Shoppable Services. The Hospital’s Standard Charges and Display of Shoppable Services do not include physician or other separately billable professional provider charges.
A hospital’s gross charge is the dollar amount that is billed to insurance companies; however, it is typically not what a patient will be responsible for paying or what the insurance company pays. A patient’s potential financial liability is dependent on various factors that may include actual charges for services provided, insurer negotiated payment rates, government established payment rates, patient co-insurance and deductible responsibilities, secondary insurance benefits, qualifying financial aid and prompt pay discounts.
The pricing information contained in the Hospital’s Standard Charges and Display of Shoppable Services are intended to be informational only and are not necessarily reflective of the patient’s final financial liability or the amount that will actually be paid by an insurance plan. A patient’s final bill will depend on actual services and procedures performed as determined by that patient’s doctor. Final determination of eligibility and benefits are determined at the time the claim is processed by the insurance plan.
If you have questions or need an estimate for services, please call Christine at 518-926-5111. We recommend that you also contact your insurance plan for information regarding the plan’s payment amount and your patient liability amount or regarding any questions concerning plan benefit restrictions or coverage limitations.
The Hospital’s Standard Charges include a machine readable file of the following charges. Click here to download the machine readable file:
- Gross charge: The charge for an individual item or service that is reflected on a hospital’s chargemaster absent any discounts that by law is billed to all insurance companies.
- Discounted cash price: (Provided to non-insured patients) The Expected Payment that applies to non-insured individuals who pay cash (or cash equivalent) for a hospital item or service.
- Payer-specific negotiated charge: The PAYMENT that a hospital has negotiated with a third-party payer for an item or service.
- De-identified minimum negotiated charges: The lowest PAYMENT that a hospital has negotiated with all third-party payers for an item or service.
- De-identified maximum negotiated charges: The highest PAYMENT that a hospital has negotiated with all third-party payers for an item or service.
- THE CHARGE AMOUNT IS TYPICALLY NOT WHAT A PATIENT WILL BE RESPONSIBLE FOR PAYING.
You are receiving services in an Albany Medical Center Hospital (“Facility”) location. Because it is a Facility location, you may receive a bill from the Facility (the “Facility Fee”) as well as a separate bill for the professional service of any doctor you see today (the “Professional Fee”). The purpose of the Facility Fee is to cover the costs associated with your care that are attributed to the Facility (e.g., nurses, technicians, other non-physician staff, ancillary services, room, medications, equipment, and supplies, etc.) as opposed to the Professional Fee which represents the charge solely for the professional services provided by your doctor(s).
Depending on your agreement with your health plan you may be responsible separately for co-insurance, deductible or co-pay amounts and/or other out of pocket expenses that may be attributed to the Facility Fee. These patient responsibility amounts are determined by your health plan and are based on the services performed. These amounts may be different if you were to receive services at a health care provider location that is not considered a facility location by your health plan. Further, if Facility is not considered a participating provider with your health plan (Out-of-Network) you may be directly responsible for all or a portion of any Facility Fee. You can find a list of the plans in which we participate at https://www.glensfallshospital.org/about/about-us/billing-and-insurance/participating-health-plans/
Information regarding Facility’s fees may be found at https://www.glensfallshospital.org/about/about-us/billing-and-insurance/ or you may call 518-262-4989.
If you do not have health insurance, you may be eligible for assistance in paying your Facility bills, Information about financial assistance is available at https://www.glensfallshospital.org/patients-and-visitors/patients/patient-financial-assistance/ or you may contact or Patient Financial Assistance Office at 518-926-5111.
The Display of Shoppable Services represents 300 “shoppable services” that a health care consumer can schedule in advance. Click here to download the Display of Shoppable Services.
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FAQ
What is the phone number for Glens Falls Hospital medical records?
Does Glens Falls Hospital take Wellcare insurance?
How big is Glens Falls Hospital?
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Coronary Care Beds
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12
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Medical / Surgical Beds
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300
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Pediatric Beds
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14
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Psychiatric Beds
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30
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Total Beds
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391
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How many employees does Glens Falls Hospital have?