Family Guide to Billing
No matter where your child is treated at Children’s Health℠, you can expect to receive bills from the hospital as well as separate bills from doctors for their professional services. Usually, more than one doctor will care for your child. You may receive several separate doctor bills (attending doctor, surgeon, radiologist, pathologist, etc.). Depending on the type of visit you have at the hospital, you may also receive separate bills for charges such as lab tests or certain supplies.
For Patients with Insurance
Please also contact your insurance company to verify if the doctor treating your child is in your plan's network. Even if Children’s Health is in-network for your child's insurance plan, the doctor(s) treating your child may not be. The majority of doctors who treat patients at Children's Health are not hospital employees. Many of our doctors are contracted with the same insurance plans as the hospital, but not in all cases.
Lab, Radiology and Pharmacy Bills
Your co-pay does not include lab tests, radiology and pharmacy charges. Children's will bill separately for those services. These charges may be applied to your outpatient deductible.
Children's lab services are specialized for pediatrics; however, not all insurance plans recognize Children's as a preferred provider for lab services. You may be charged an extra out-of-pocket expense. If you chose another lab for tests that is in-network with your plan, Children's will be happy to help you find the center most convenient for you.
Admission Day Surgery, Radiology, Therapy or Lab Services
You will be asked to pay any co-pays, co-insurance or deductibles for the services provided by the hospital. These services may require authorization. Contact your insurance company to better understand your plan's requirements. If your child is admitted to an inpatient bed for a short stay, the physician may order "observation" services instead of "inpatient," based on the child's medical condition. If that is the case, these services will be billed as "outpatient" services instead of inpatient and will be subject to your plan's outpatient deductible requirements. The doctors, surgeons, radiologists, anesthesiologists and pathologists will bill the professional fees.
For Patients Without Insurance
Many of our patient families are surprised to learn that their child qualifies for assistance. You can speak to a financial counselor in the Admitting office, or you call a financial counselor at 214-456-8640 7 days a week between 7 a.m. - 5 p.m.
If you earn too much to qualify for assistance, you may be eligible for a prompt-pay discount. Please call Patient Financial Services for this information at 800-467-7404 or 214-456-2455, Monday - Friday between 8 a.m. - 5 p.m.