Financial / Billing Information
The cost of medical care is among the many things you may worry about if you, a friend, or a family member is diagnosed with cancer or a blood disorder. We have an entire team of knowledgeable staff members that will work together with you to help you with these concerns so that you may focus on your treatment and recovery. The billing staff at Hematology & Oncology Consultants, P.C., can help provide you with answers to your questions regarding:
- Prior authorizations
- Explanation of benefits
- Payment arrangements
- Estimation of costs
Please bring your insurance identification card(s) with you to each visit. If you have more than one insurance company, please let us know which one is providing your primary coverage. If your coverage changes at any time, please notify us immediately at 402-572-3529 so that we can update our records.
We participate with most major insurance companies and will submit claims on your behalf. However, we may not be considered in-network for some HMO or PPO insurance plans. Please verify that our physicians are in the network before your treatment begins. You may contact us if you need help determining if our practice is in- or out-of-network.
Co-payments are payable at the time of your visit. Any deductibles or co-insurance amounts due will be billed to you. We accept Visa and MasterCard. To review the remainder of our practice’s financial policy, please click here:
We are pleased to offer financial assistance to patients with limited resources and inadequate medical insurance coverage. Eligibility is determined by total family income and assets. When meeting with a Business Office Representative, it will be helpful to bring with you a copy of:
- Your last year’s tax statement
- Proof of current income
- Personal Financial Statement
Any patient who wishes to discuss fees is encouraged to do so with our Business Office. A Business Office Representative is available at the Omaha, Columbus and Norfolk locations. If you are being seen at another satellite location, you may make an appointment to visit with a Business Office Representative ahead of time by calling 402-572-3529. You can also call that number to obtain answers to any billing questions you may have. To contact a Business Office Representative in Norfolk, please call 402-644-7550, #2. To contact a Business Office Representative in Columbus, please call 402-562-2265.
Glossary of Billing Terms
Someone who is eligible for or receiving benefits under an insurance policy or plan.
A type of cost sharing where the beneficiary and insurance provider share payment of the approved charge for covered services in a specified ratio after payment of the deductible by the insured. For example, for Medicare physicians' services, the beneficiary pays co-insurance of 20 percent of allowed charges.
(1) A fixed dollar amount paid for a covered service by a beneficiary (See Co-insurance and Deductible). (2) Amount that a member of a health plan has to pay for specific health services, such as visits to a physician. (See "Beneficiary Liability" and Co-insurance" above.)
(1) The amount the patient pays for medical care before insurance covers the balance. (2) A type of cost sharing where the beneficiary pays a specified amount of approved charges for covered medical services before the insurer will pay for all or part of the remaining covered services. (3) Total amount a member of a health plan has to pay for services before that person's plan begins to cover the costs of care. (See "Beneficiary Liability" above.)
Explanation of Benefits (EOB)
The coverage statement sent to covered persons listing services rendered, amount billed and payment made. This normally would include any amounts due from the patient, as described in "Beneficiary Liability," "Co-insurance," "Deductible" and "Co-payment" all listed above.)
Medicare Supplement Policy
Privately purchased individual or group health insurance policies designed to supplement Medicare coverage. Benefits may include payment of Medicare deductibles, co-insurance and balance bills, as well as payment for services not covered by Medicare. Also called Medigap.
Out of Network (OON)
Coverage for treatment obtained from a non-participating provider. Typically, it requires payment of a deductible and higher co-payments and co-insurance than for treatment from a participating provider.
The portion of payments for covered health services required to be paid by the patient, including co-payments, co-insurance and deductible. (See "Co-insurance," "Deductible" and "Co-payment" above.)
Part A Medicare
Medical Hospital Insurance (HI) under part A of title XVIII of Social Security Act, which covers patients for inpatient hospital, home health, hospice and limited skilled nursing facility services. Beneficiaries are responsible for deductibles and co-payments.
Part B Medicare
Medicare Supplement Medical Insurance (SMI) under Part B of Title XVII of the Social Security Act, which covers Medicare beneficiaries for physician services, medical supplies and other outpatient treatment. Beneficiaries are responsible for monthly premiums, co-payments, deductibles and balance billing.
Any insurance that supplements Medicare coverage. The three main sources for secondary insurance are employers, privately purchased Medigap plans and Medicaid.