Billing & Insurance

Our practice understands not only the physical stress that cancer care can bring to those receiving treatment, but the financial hardships that may occur as well.   The following are a few basic guidelines for various types of insurance plans.

Prior to initiating treatment, our staff will complete a verification of insurance with the patient’s carrier to educate the patient on their benefit levels, out-of-pocket costs, etc. 

GPCHS offers an array of special payment options catered to your needs and individual situation so that you can stay focused on what’s most important:  your health and well-being.  If you have any questions or concerns, or would like to make special payment arrangements, a billing department representative will gladly assist you.

Please note: While we do our best to ensure accuracy regarding coverage, every insurance program is different.   Please note that all coverage information regarding our services are estimates only.   Actual billing and associated costs can only be determined and assessed after the claim is processed.  Patients are responsible for any out-of-pocket costs that are not covered through their insurance provider.

Medicare
After you have satisfied your annual deductible, Medicare will pay 80 percent of the approved amount. If you have secondary insurance, this will usually cover the 20 percent co-insurance. Some carriers, however, do not pay the entire 20-percent remainder, in which case you will be responsible for the balance.

Pennsylvania Blue Shield/Personal Choice
Under these plans, all services are billed to the insurance carrier. However, there may be co-insurance, co-pay, or an out-of-pocket expense that you will be required to fulfill. Please note that some Blue Shield plans do not cover office visits.

Managed Care Plans (HMOs)
Patients covered by these plans must present a referral at the time of every visit. The primary care physician may indicate more than one visit on the referral. Co-pays for all services rendered are due at the time of the service.

Private Insurance
All services for patients with private plans will be billed to the insurance carrier, and patients are responsible for any unpaid balance. That balance can be determined by studying the Explanation of Benefits provided with the plan.