About Your Bill
Thank you for selecting Massachusetts Eye and Ear and our physicians for your health care. This document provides you with information about our registration process and financial issues associated with your care.
Insurance coverage and financial responsibility, including copayments, may differ for services provided in an outpatient facility than for services provided in a physician office setting. Please contact your insurance company to fully understand your coverage for services provided in a hospital outpatient facility.
Hospital Outpatient Facility Billing:
Hospital outpatient facility billing refers to the billing process for services rendered in a hospital outpatient facility or site. This is the national model of practice for integrated healthcare delivery systems where the hospital owns the space and hospital employees support the personnel involved in patient care.
This model benefits patients as all departments of the hospital are subject to strict quality standards and monitored by The Joint Commission, an independent, not-for-profit organization that accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality, and reflects an organization’s commitment to meeting certain performance standards.
Because your care is provided in a hospital-based outpatient site, you may receive charges from your physician group, Massachusetts Eye and Ear Associates (MEEA) and from the hospital, Massachusetts Eye and Ear Infirmary (MEEI).
The MEEI portion includes charges for any diagnostic tests that you may have had as well as a facility fee that covers the costs of operating the site. The MEEA portion covers the charges for your physician’s professional services.
Before Your Appointment:
We recommend checking with your insurance company to ensure that they will pay both Mass. Eye and Ear and the physician for your services, and to understand what your copayment, deductible, and coinsurance costs may be.
If your insurance plan, including Medicare Advantage Plans and Medicaid Managed Care Plans, is not contracted with Mass. Eye and Ear or if Mass. Eye and Ear or your physician are considered “out-of-network” by the plan, your costs may be higher.
If your insurance requires a referral from your Primary Care Physician and it is not in place prior to your appointment, your appointment may need to be rescheduled or you may be asked to sign a payment responsibility waiver when you arrive.
If you are coming in for service that is not covered by your insurance plan, payment is expected prior to, or on, the date of service. If you do not have insurance or are in need of financial assistance, please contact one of our Financial Coordinators prior to your appointment.
Worker’s Compensation or Other Accident:
Coverage for these services requires verification. Please bring all documentation related to your case on the day of your appointment.
When You Arrive for Your Services:
Please let us know if your personal information or insurance coverage has changed since we last spoke with you.
Collection of copayments is required by your insurance plan. We collect known copayments at the time of service, but because we do not always know all the services you will be receiving, additional copayments may apply. In accordance with your insurance plan, you will be billed for these at a later time.
If You Need Medically Necessary Surgery or Treatment:
If you have health insurance, then your health plan may require pre-authorization for services. We will contact the plan or your primary care physician to obtain these pre-authorizations.
Since benefit levels vary by plan, it is recommended that you call your health plan to confirm that your surgery will be covered and determine what your out-of-pocket expenses may be.
If you do not have health insurance, then you will be given a good faith estimate and access to a Financial Coordinator who can assist you in determining how your surgery may be covered.
If You Choose to Have Non-Medically Necessary Surgery or Treatment and You Do Not Have Insurance:
You will be given a good faith estimate and will be required to pay in full prior to receiving services. You should ask to meet with a Financial Coordinator if you think you will need financial assistance.
You are financially responsible for any deductible and/or coinsurance payments imposed by your insurer, and for any services not covered by insurance.
If you do not have insurance or are unable to pay the full amount at the time of service, our Financial Coordinators will work with you to see if you are eligible for any other coverage, or to establish a payment plan.
Mass. Eye and Ear and our physicians accept the following forms of payment for services: cash, check, money order, and all major credit cards. Wire transfers are also accepted.
You can view all of your bills online.
Important Phone Numbers:
- Pre-Registration: 617-573-4200
- Financial Coordinators: 617-573-5664
- Billing: 617-573-3135
Massachusetts Eye and Ear complies with applicable Federal and State civil rights laws and does not discriminate on the basis of race, color, national origin, citizenship, alienage, religion, creed, sex, sexual orientation, gender identity, age or disability. Massachusetts Eye and Ear does not exclude people or treat them differently because of race, color, national origin, citizenship, alienage, religion, creed, sex, sexual orientation, gender identity, age or disability.
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