Frequently Asked Questions
Determination of Medical Necessity and Admission Appropriateness
What is a "Long-term Acute Care Hospital"?
A Select Specialty Hospital focuses on extended acute care hospital services for the medically complex or chronically critically ill patient. These hospitals fill the gap between the acute care hospital and other levels of care and home. Treatment programs center around providing the highest level of care required to maximize the clinical outcome of the patient.
Select Specialty Hospitals meet the needs of those patients who no longer require the intensity of the ICU, yet whose medical conditions are too complex to be transferred to a lower level of care or go home.
How can Select Specialty Hospital as a long-term acute care hospital benefit my loved one?
Select Specialty Hospitals can benefit any patient who has had an extended hospitalization because the hospitals are able to deliver a complete continuum of care at an overall cost that is typically lower than the acute care hospital and therefore uses the patient's resources most effectively.
Advantages to an admission at a Select Specialty Hospital:
- A complete Healthcare delivery system
- Daily physician visits
- In-house Ancillary services such as: Respiratory therapy, PT, OT, ST, Radiology, Laboratory services and Pharmacy
- Interdisciplinary team approach to care
How can I refer my loved one to your Select Specialty Hospital?
Patients are referred to Select by a variety of sources: physicians, case managers, insurance adjusters, discharge planners, social workers, nursing homes, and even patients or their families can make a referral.
To refer a patient, simply call the hospital number and ask for the admission department. They will take the referral information and complete the entire intake process for you.
Verification of Insurance Coverage
How do I find out if my medical insurance is accepted at Select Specialty Hospitals?
Select Specialty Hospitals have contracts with many insurance plans. During the admission process, the admission department will conduct a thorough review of your hospital benefits to ensure that you have coverage. Many insurance plans are willing to work with Select even though they are not contracted with a Select Hospital. The admission team will help navigate through any potential insurance barriers prior to admission. There is a large team of very knowledgeable professionals dedicated to ensuring hospital coverage and reducing patient liability.
What are my options if Select Specialty Hospital is not on my insurance plan as a network provider?
Select will investigate fully your plan and if your plan will not work with Select, we will try to give alternative suggestions on future care.
Admission to a Select Specialty Hospital
What documents should I bring in order to complete the registration process for admission to Select Specialty Hospital?
Documents to Bring Upon Admission to Select
You will need the following items with you upon admission day.
- Insurance cards so that we can copy and verify the accuracy of our information for correct billing
- Any important papers such as a Health Care Directive, POA, Living Will so that we can make a copy and include with your Medical Record in the event we need to follow your directive.
- A photo identification and proof of your current address so that we can verify and support the protection of your identity.
- Copy of any financial Advance Directive such as a Durable Power of Attorney for Financial decisions
What personal items should I bring?
You can bring some personal items with you at admission: toothpaste, toothbrush, deodorant, hairbrush etc., but Select will also provide the items needed for your care. The team may suggest items to bring as they begin your treatment plan. It is best not to bring many things to the hospital, as there is a small area for each patient to keep such items. Please do not bring: money or anything of value that could be misplaced or broken during your stay.
Insurance and Billing
Should I bring my Insurance Cards with me to the hospital?
Yes. The hospital needs information on your insurance card in order to file a correct claim with your insurance company.
Will you bill my primary and secondary insurance?
You will need to provide us with complete and accurate primary and secondary insurance. We will submit bills to your insurance company and will do everything possible to get your claim paid. It may be necessary for you to contact your insurance company to assist in expediting the claim payment.
How will I know if my insurance company has paid my bill?
After your insurance company has paid its portion of your hospital bill, we will send you a statement of account. This statement indicates the amount that has been paid and any balance you are required to pay. You have 30 days to pay any balance indicated on the statement of account.
Why did I receive separate bills for the hospital and the doctor(s)?
These bills are for professional services provided by these doctors for managing and treatment while you were a patient. Pathologists, radiologists, cardiologists and so on. Their claims submissions are separate from the hospital's billing.
When will I receive a bill?
You will not receive a bill until after your Health Insurance Company has paid or denied the claim related to your care. If you gave us insurance information when you registered, the first bill you will receive will indicate what your insurance paid and what you balance is after all insurance payments.
How can I pay my patient balance responsibility?
We offer three payment options:
Credit Card, check or money order: Make check or money order payable to the hospital where the service was received. We accept MasterCard, Visa or Discover.
What is co-insurance?
Co-insurance is a form of cost-sharing. After your deductible has been met, the plan will begin paying a percentage of your bills. The remaining amount, known as co-insurance, is the portion due by the patient.
What is a co-payment?
A co-payment is a set fee the member pays to providers at the time services are rendered. Co-pays are applied to emergency room visits, hospital admissions, office visits, etc. The costs are usually minimal. The patient should be aware of the co-payment amounts prior to the date of service based on your insurance benefits.
What is a deductible?
Deductibles are provisions that require the member to accumulate a specific amount of medical bills before benefits are paid. For example, if a member's policy contains a $500 deductible, the member must accumulate and pay $500 out of pocket before the insurance carrier will pay benefits. Once the patient has met their deductible, the carrier usually pays a percentage of the bill. The patient is liable for the unpaid percentage. Deductibles are yearly, usually starting in January.