Insurance and Billing Information
Heart Hospital of Lafayette provides Registration Services adjacent to the front lobby and near the Emergency Department. Surgery procedure patients may pre-register Monday through Friday from 7 a.m. to 4 p.m. Patients scheduled for ambulatory and radiology procedures may pre-register, if required, any day of the week, 24 hours a day.
In an effort to expedite the registration process, we ask that you pre-register at least one week in advance of your hospital service to allow time for insurance verification and pre-certification, when required. Patients should present their insurance I.D. cards and a valid picture I.D. at the time of registration. Our admission staff will inform you at pre-registration or contact you 2-3 days before your procedure to discuss co-pay and deductible estimates.
Heart Hospital of Lafayette accepts many health plans; a complete list of all health plans accepted is available upon request. Contact your employer or call us at (337) 470-1000 to verify that Heart Hospital is part of your health plan.
We are committed to providing financial assistance to those who have
healthcare needs and are uninsured or underinsured, for emergency or medically necessary care, based on the patient’s individual financial
situation. Patients seeking financial assistance must apply for the program. Read more about our financial assistance program and how to apply.
If you have an advance directive or living will, please bring these documents with you to the hospital. If you do not have either of these documents, information is available upon request at the time of your admission.
Pricing Transparency You have reached the federally-required section of our website that contains the charges for the services we provide within our facility. While
we provide this information to comply with federal regulations, healthcare billing is complex. It is extremely important for you, as the consumer,
to understand that standard charges may not be a relevant starting point for estimating what costs you may incur during an episode of care, and
the amount actually paid by a patient will depend on that patient’s insurance coverage, policy provisions and other factors. Everyone’s case is
different based on that patient’s medical condition.
The charges displayed only include hospital charges and do not include charges that are billed separately by the physician or other professional fees. Furthermore, the actual amount paid by a patient will depend on that patient’s insurance coverage, as benefit plans vary greatly.
IF YOU HAVE COMMERCIAL INSURANCE:
- Contact your insurance company to understand all of the factors affecting your financial responsibility.
- Numerous factors, such as type of plan, co-pay, co-insurance, deductible, out-of-pocket maximums, provider network and other limitations, will
affect your financial responsibility to a hospital.
- The prices reflected on this site do not include charges for the physician or other professional fees, such as pharmacy, diagnostic imaging
or lab work.
- The prices reflected on this site do not include any negotiated discounts between your insurance company and the hospital.
- Medicare has many different parts, and not everyone has the same type of Medicare coverage. Medicare will pay for many of your healthcare expenses
but not all of them.
- Special rules apply if you have employer group health insurance coverage through your job or a spouse’s job.
- If you have a supplemental health insurance policy, it may cover some costs that Medicare does not cover.
- The best way to be sure of what your Medicare plan covers is to call 1-800-MEDICARE, or visit the website at www.mymedicare.gov.
- Contact your local Medicaid office at 1-888-544-7996, or visit the Louisiana Department of Health to determine all the factors affecting your
- Generally, Medicaid recipients are not responsible for any portion of the bill.
- Please contact our Patient Financial Services Department at (337) 470-2000 and ask about our payment policies.
- As required by the Affordable Care Act (ACA), hospitals have a written financial assistance policy that includes eligibility criteria, the
basis for calculating charges and the method for applying for financial assistance.
- Contact our Patient Financial Services Department at (337) 470-2000 to determine if you meet the criteria for
Average Charges by DRG
Understanding Your Hospital Bill
The Heart Hospital of Lafayette Business Office routinely files all necessary hospital claims to insurance companies for reimbursement. The patient, however, is ultimately responsible for paying the bill. It is extremely important that the hospital be given all information regarding the patient's insurance as soon as possible so that the Business Office can verify it is in effect and determine the nature of coverage.
If insurance coverage is insufficient, payment for services rendered is due by one of the following methods:
- Deposit made before or upon admission
- Payment made during your hospital stay
- Cash or other payment upon discharge.
Payment and/or deposit may be made with cash or a credit card such as MasterCard, VISA, Discover or American Express.
Inquiries regarding payment or deposit requirements for the services rendered at Heart Hospital of Lafayette may be discussed with a Business Office representative by calling (337) 470-1311.
Medicare requires that your hospital admission and continued stay be justified for medical necessity. If continued stay is not medically necessary, Medicare will not pay for it. You have the right to appeal any written notice that states Medicare will no longer be responsible for your bill. Please ask your nurse to have a representative from Case Management contact you if you wish to appeal a Medicare denial decision.
We are aware that hospital bills are sometimes difficult to understand because of the various requirements imposed on the hospital by health insurance carriers. Your statement of account will include only those services rendered to you by Heart Hospital of Lafayette. Services provided by your doctor, surgeon, anesthesiologist, radiologist or any other consulting physician are billed by their respective office. Inquiries regarding payment or deposit requirements for the services rendered at Heart Hospital of Lafayette may be discussed with a Business Office representative by calling (337) 470-1311.
Most insurance plans do not cover 100% of your hospital stay. You may pay your portion of the bill after your insurance pays, or within 30 days of discharge, whichever comes first. If you are unable to pay the balance in full, you can make arrangements for installment payments by calling (337) 470-1311.