Nationally Recognized Heart Hospital
Dallas   Fort Worth



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Insurance & Billing






Insurance

Your co-pay, deductible and/or co-insurance are due at time of service. Payments can be made by cash, debit cards, personal check, or by credit card (VISA, MasterCard, Discover and American Express).

If we do not have the exact amount due at time of service, we will require a deposit. The deposit may vary, depending on the particular type of service.

If your insurance is not contracted with Baylor Scott & White Heart and Vascular Hospital, your financial responsibility may be significantly higher and is due at the time of service.

Pre-Certification

If your insurance provider requires a pre-certification, we will attempt to obtain all required clinical information from your physician to obtain the authorization from your insurance company. If you have any questions regarding pre-certification, please let us know. If we are unable to obtain a pre-certification, we may need to cancel or reschedule your service(s).

Your insurance coverage is a contract between you and your insurance company. Benefits will vary depending upon the type of insurance policy you carry.

Accepted Insurance

Insurance listings are subject to change without prior notice. Please call the hospital at the numbers below or your health plan to verify coverage information prior to scheduling your visit/procedure.
  • Director of Access Services: 214.820.0653
  • Manager of Access Services: 214.820.0614
View a list of insurances accepted at Baylor Scott & White Heart and Vascular Hospital.

Last updated: April 30, 2020

 

Commercial/Group


Individual/Family


Managed Medicaid



Baylor Scott & White Heart and Vascular Hospital is a Medicare/Medicaid provider. Medicare and Medicaid patients must present their current cards at the time of service. Medicaid patient's eligibility will be verified.

Managed Medicare



Baylor Scott & White Heart and Vascular Hospital is a Medicare/Medicaid provider. Medicare and Medicaid patients must present their current cards at the time of service. Medicare patients are requested to pay their deductible at the time of admission.

We are required by Medicare to check the diagnosis information that your ordering physician has provided with the specific test or procedure he/she has ordered when you are scheduled for Outpatient services. In some cases, Medicare will not pay for a service because they feel that the diagnosis does not support the need for the test or service requested by your physician. In this event, you may be asked to sign an Advanced Beneficiary Notice, which outlines your option to receive the non-covered procedures Medicare does not pay for, along with financial responsibility associated with that option. Medicare only pays for covered items and services when Medicare rules are met. The fact that Medicare may not pay for a particular item or service does not mean that you should not receive it. There may be a good reason your doctor recommended it.

Please have your insurance card(s) and proof of identification readily available at time of admission.

Other Government




Estimate Cost

Baylor Scott & White’s price estimation tool allows patients to self-generate accurate out-of-pocket expense estimates.

Please keep in mind any information received is only an estimate that may be more or less than your final bill. The estimate takes into consideration the information you and your provider share with us regarding your service, including anticipated services, insurance coverage, copayments, deductibles and coinsurance. However, many factors may influence the actual amount you will be billed, including changes to the services actually performed and updates in your coverage not reflected at the time estimates were provided.

In the North Texas (Dallas-Fort Worth Metroplex) region, your estimate with us reflects only hospital charges, such as charges for room, equipment use, supplies, and services provided by the hospital's staff. Our account does not include charges for your physician or any other physician fees, such as emergency room physician, radiologist, anesthesiologist, pathologist or other consulting physicians. These physician charges are billed separately and are your separate responsibility.

Estimate your cost online Call for price estimates 833-693-7157 More about cost of services

Financial Assistance

Our goal is to be a resource for you and your family. Our team of customer service representatives and financial counselors are here to help you find financial solutions that can help cover your cost of care. We encourage you to speak to a member of our team at any time – before, during or after care is received.

To help our patients find ways to meet their financial obligations for the services provided to them, our team can help:
  • Determine if you qualify for Baylor Scott & White Heart and Vascular Hospital's Financial Assistance Program;
  • Assist with enrollment in public or private insurance programs and other third-party programs;
  • Set up extended, interest-free payment plans; and
  • Determine if you qualify for our Uninsured Patient Discount


 

Baylor Scott & White’s Financial Assistance Program

As part of its commitment to serve the community, Baylor Scott & White Heart and Vascular Hospital provides hospital financial assistance to patients who are indigent and satisfy certain requirements. To be considered for the program, you will be required to provide information on your household finances through a confidential Financial Assistance Application. Supporting documentation will be requested to verify your circumstances in order to determine eligibility. Learn about the process for applying for assistance and the options that may be available.

Financial assistance application: English | Spanish
Financial assistance policy: English | Spanish
Plain language summary: English | Spanish



Other Assistance Programs

There are a number of available programs from the federal, state and local levels, which can help pay the medical bills for individuals or families who have low income and cannot afford medical care. Often, patients are unaware of these programs or are unable to access them due to the cumbersome enrollment process required to receive these benefits. Baylor Scott & White contracts with Eligibility Consultants, Inc. (ECI), a leading provider of eligibility and enrollment services in the Dallas-Fort Worth Metroplex, to help you find programs you may qualify for and walk you through the application process to increase your chance of success. Some of these programs include:
  • Health Insurance Exchange (Affordable Care Act)
  • Medicaid
  • Crime Victims
  • County Indigent Health Care Program
  • Texas Department of Assistive and Rehabilitative Services
  • Temporary Assistance for Needy Families (TANF)
  • Social Security
  • Supplemental Security Income (SSI)/Disability Programs
  • Age/Disability (A/D)
  • State and Federal Kidney Disease Programs
ECI is a designated Certified Application Counselor (CAC) organization through the Centers for Medicare & Medicaid Services (CMS). ECI representatives are trained to provide unbiased information and help you understand, apply for and enroll in insurance coverage through the Health Insurance Exchange/Marketplace and other insurance affordability programs such as Medicaid and CHIP.

If you need to speak to an ECI representative, you may contact them directly at 1.800.452.6343, Monday to Friday from 8:00 AM – 4:30 PM or visit an ECI representative at the Baylor Scott & White facility where you received your medical services. ECI also has a business office located at 1111 Digital Drive, Suite 125, Richardson, TX 75081. For more information, please visit ECI's website at ECIDallas.com.

Interest-Free Payment Plans

If you have difficulty paying your bill in full, our staff can help set up extended, interest-free payment plans. Please call a customer service representative at 1.800.725.0024, Monday to Friday from 8:00 – 11:30 AM and 12:30 – 5:00 PM.

Uninsured Patient Discount

If you do not have health insurance coverage and do not receive financial assistance under Baylor Scott & White Heart and Vascular Hospital’s Financial Assistance Program, we will apply a 40 percent Uninsured Patient Discount to all non-covered healthcare items and services provided except those specifically excluded: transplant services and packaged-priced services

Learn More

Billing

Your medical insurance coverage is a contract between you and your commercial insurance company. You are responsible for your hospital account. Payment may be made by cash, personal check, MasterCard, VISA, American Express, or Discover.

You should expect to receive a separate bill from the physician that may assist in determining results of your service(s).

Physicians are not employees or agents of Baylor Scott & White Heart and Vascular Hospital. They are independent, private practicing physicians and may be individually contracted with an HMO or PPO. These contracts could be different from contracts Baylor Scott & White Heart and Vascular Hospital holds.

Contact your insurance company to verify that both the hospital and the physician are contracted with your Insurance Provider Network. You should expect to receive a separate bill from your physician(s) listed below, if applicable. If you have any questions regarding bills from them, please contact them directly.
  • Emergency Physicians will bill you for any services you may have received in the Emergency Department.
  • Radiologists will bill you for reading any X-rays that were taken while at the hospital.
  • Consulting Physicians may be asked by your treating physician to review your care for any special needs. You will receive a bill from these physicians as well. If you have any questions about why they are billing you, please speak with your physician.
  • Pathologists will bill you for any laboratory and pathology test(s) they have read while you were at the hospital.
  • Anesthesiologists will bill you for services received during any surgical procedures you may have undergone while at the hospital.

Privacy Practices

Baylor Scott & White Heart and Vascular Hospital values the privacy of health information for our visitors and patients. Please click on a link below to find the applicable Notice of Privacy Practices and learn how we protect your personal health information.

Notice of Privacy Practices


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