Insurance Responsbility and Financial Assistance

Insurance Responsibility
  • Saint Mary's Hospital participates in and accepts most major payers including Medicare, Medicaid, commercial carriers and managed care programs.

  • If you are a member of any of the above, Saint Mary's Hospital will bill your insurance company directly.

  • You are responsible for obtaining any referrals or pre-authorizations your insurance plan may require. Your physician's office can assist you with obtaining this authorization. If proper authorizations are not obtained, your admission/procedure may be rescheduled.

  • You will be notified in advance of any insurance co-payments and/or deductibles your insurance plan may require. Please be aware that as part of your insurance agreement, payment is expected at the time of service.

  • Financial Counselors are available at your request if you would like to discuss payment issues. (Financial Assistance info).

  • Be sure to bring insurance cards and photo ID with you the day of your admission/procedure.

  • If your admission/procedure is the result of an accident or workers' compensation, you will need to provide the accident/workers' compensation information prior to the date of admission/procedure.
Financial Assistance

Saint Mary’s Hospital provides financial assistance to patients who qualify for Bed Funds or other financial assistance programs.

If you are uninsured or otherwise unable to pay your medical bills you may qualify for hospital bed fund. In order to qualify, you must meet the following criteria:

  1. You must be liable for one or more hospital charges due to Saint Mary’s Hospital.
  2. You must provide proof that you applied, and were denied medical or health coverage under the SAGA or Medicaid program, due to failure to meet income or other eligibility guidelines.
  3. You must not be eligible to have your medical bills paid by any other third party payor, including, but not limited to, Medicare, Tricare, private health insurance, workers’ compensation or motor vehicle insurance.
  4. Your household income must be at or below 250% of the Federal Poverty Limits.

If you qualify for “Free Bed Fund”, or any of our other financial assistance programs, you will be notified within thirty (30) days of receipt of your application. If your application is denied, an explanation will be provided. You may reapply at any time and your application will be reassessed based on the availability of additional funds or a change in your financial status.

If you would like to know if you qualify for one of these programs, please ask to speak to one of our Financial Counselors or you can call (203) 709-7741. Our office hours are Monday – Friday, from 9:00 a.m. to 4:00 p.m.

 

 

 

 

 


Saint Mary's Hospital
56 Franklin Street
Waterbury, CT 06706
(203) 709-6000