Full Answer
Who are eligible for the charity program?
Charity Care means the ability to receive "free care." Patients who are uninsured for the relevant, medically necessary service, who are ineligible for governmental or other insurance coverage, and who have family incomes not in excess of 300 percent of the Federal Poverty Level will be eligible to receive "free care." ...
Is UPMC part of Pinnacle Health?
PinnacleHealth has officially joined the University of Pittsburgh Medical Center to become UPMC Pinnacle. The two health systems announced the affiliation this March.
Does UPMC offer payment plans?
UPMC offers payment plans to help you pay over a period of time. You do not need to owe a large amount of money to qualify for a payment plan. Here are the great things about our payment plan: No interest – meaning we will not charge you more than you originally owed.
How do I get an itemized bill from UPMC?
Copies of Your Bill Please call a customer service representative at 717-231-8989 or 877-499-3899 if you need a copy of your itemized UPMC bill, which will be sent to you at no charge. If you need more than one copy of your itemized bill, there is a charge of $5 for each outpatient bill and $10 for each inpatient bill.
When did UPMC acquire Pinnacle?
The University of Pittsburgh Medical Center (UPMC), the largest health system in Pennsylvania, on Friday told bondholders that it reached a definitive agreement on July 28 to acquire Pinnacle Health System of Harrisburg. The deal is expected to be completed Sept. 1, pending regulatory approvals.
How many beds does UPMC Pinnacle have?
409UPMC Harrisburg / Number of beds
How long does a hospital have to bill you in Pennsylvania?
Section 127.208 - Time for payment of medical bills (a) Payments for treatment rendered under the act shall be made within 30 days of receipt of the bill and report submitted by the provider.
Does UPMC report to credit bureaus?
UPMC does send bills to a collection agency if they haven't been paid within 120 days of the initial statement, but that agency operates under the same policy as the health system, meaning no lawsuits, no liens, no credit reporting, said Kathleen Whalen, director of patient advocacy in the academic health system's ...
How do I submit a claim to UPMC?
Contact us at 1-844-201-4674. TTY: 711. Fax: 1-844-201-4655.Contact us at 1-844-201-4674. ... Hours of Operation for Direct Member Reimbursement are 9:00 AM to 3:30 PM, Monday through Friday.SUBSCRIBER SUBMITTED CLAIM FORM.Provider's Statement.To be completed by the treating physician or supplier of service.More items...
How do I get my medical records?
You may be able to request your record through your provider's patient portal. You may have to fill out a form — called a health or medical record release form, or request for access—send an email, or mail or fax a letter to your provider.
How long do hospitals keep medical records in PA?
seven yearsIn Pennsylvania, physicians must retain an adult patient's medical records for at least seven years from the last date of service.
How do I get my medical records from UPMC?
Medical Record RequestsLog in to your UPMC patient portal account. ... Complete a medical records release form.Request your records or information from your UPMC physician office.Request your records from a UPMC hospital.Request changes to your medical record.Contact your doctor or hospital.
Who qualifies for UPMC for Life?
Be age 65 or older, or. Be under age 65 with certain disabilities, or. Have permanent kidney failure requiring dialysis.
What type of plan is UPMC for Life?
UPMC Health Plan offers Medicare beneficiaries a line of health benefit plans called UPMC for Life. These Medicare Advantage plans, formerly known as “Medicare+Choice,” replace traditional Medicare coverage with managed care options.
How much is UPMC Life?
New! The UPMC for Life PPO Rx Choice plan has a $29 monthly premium and gives members affordable medical coverage with broad provider access, a low $250 out-of-network deductible, and low-costs for out-of-network services.
Does UPMC for Life cover gym memberships?
With the SilverSneakers health and wellness program, LifeUPMC for Life Complete Care members get free unlimited gym memberships to local participating fitness facilities.
How to determine if you are eligible for free UPMC?
UPMC staff will determine if you are eligible for free or discounted health care services by looking at your income and family size. We also may help you set up a payment plan for your UPMC bills. This allows you to make payments within your means.
Where to get financial assistance form?
At the hospital or physician's office: Request a Financial Assistance Application form from your case manager, at the front desk in the hospital’s registration area, or at your doctor’s office.
Does UPMC provide financial assistance?
UPMC ’s Financial Assistance Program may be able to assist with expenses for medical care, including UPMC hospital and physician services. You can fill out a single UPMC Financial Assistance Application form for any of these services. If you need the application in a non-English language, you can either:
Does UPMC charge for emergency care?
UPMC will not charge an eligible individual for emergency or other medically necessary services more than the amount generally billed (AGB) to individuals who have insurance covering such care. In some cases, UPMC may recognize other financial or medical conditions that warrant Financial Assistance.
Is UPMC financial assistance confidential?
Applicants for financial assistance are treated with dignity and respect. We respect your privacy, and all of your information will remain confidential. See UPMC’s Notice of Privacy Practices.
Is financial assistance available for insurance copayments?
Other services, at UPMC's discretion. Financial Assistance is not typically available for: Insurance copayments. People who fail to reasonably comply with insurance requirements, such as obtaining authorizations or referrals.
Is UPMC fee waived?
The fees for UPMC services are completely waived.
How to contact UPMC Pinnacle?
For information about UPMC Pinnacle’s Financial Assistance Program and translation services, please call for a representative at 717-231-8989 or 1-877-499-3899 option # 3.
What is UPMC Memorial?
UPMC Memorial treats all patients with respect and dignity regardless of their ability to pay. Charity care means free care.
Do you have to apply for medical assistance before being approved for financial assistance?
You must apply for Medical Assistance or consider other options prior to being approved for charity care of financial assistance discounts. Note: Except for individuals within 250% of the Federal Poverty Level, this policy does not apply to patients who are insured or underinsured.
UPMC Central Pa. Portal
UPMC Central Pa. Portal provides patients across the central Pennsylvania region with secure access to their health information. It is the fastest way to send a message to your doctor, refill prescriptions, get test results, and schedule and manage appointments, including video visits.
Contact UPMC
When it comes to health care for you and your family, UPMC is here. It's easy to find the right doctor, health screenings and programs, classes and more.
Contact Us
Need more information? Many of our providers offer video visits. Call the office at 717-231-8900 or schedule via your patient portal.
UPMC Central Pa. Portal
UPMC Central Pa. Portal provides patients across the central Pennsylvania region with secure access to their health information. It is the fastest way to send a message to your doctor, refill prescriptions, get test results, and schedule and manage appointments, including video visits.
Contact UPMC
When it comes to health care for you and your family, UPMC is here. It's easy to find the right doctor, health screenings and programs, classes and more.
What is UPMC portal?
UPMC Central Pa. Portal provides patients across the central Pennsylvania region with secure access to their health information. It is the fastest way to send a message to your doctor, refill prescriptions, get test results, and schedule and manage appointments, including video visits.
Does UPMC Pinnacle offer lead prevention?
The UPMC Pinnacle Lead Poisoning Prevention and Education Program (LPPEP) will offer lead prevention education and environmental home inspections to families of affected children.
How to determine if you are eligible for free UPMC?from upmc.com
UPMC staff will determine if you are eligible for free or discounted health care services by looking at your income and family size. We also may help you set up a payment plan for your UPMC bills. This allows you to make payments within your means.
What is UPMC Memorial?from upmc.com
UPMC Memorial treats all patients with respect and dignity regardless of their ability to pay. Charity care means free care.
Where to get financial assistance form?from upmc.com
At the hospital or physician's office: Request a Financial Assistance Application form from your case manager, at the front desk in the hospital’s registration area, or at your doctor’s office.
Does UPMC charge for emergency care?from upmc.com
UPMC will not charge an eligible individual for emergency or other medically necessary services more than the amount generally billed (AGB) to individuals who have insurance covering such care. In some cases, UPMC may recognize other financial or medical conditions that warrant Financial Assistance.
Does UPMC cover financial assistance?from upmc.com
While UPMC's Financial Assistance Program covers most services, there are some exclusions, such as, but not limited to:
Is financial assistance available for insurance copayments?from upmc.com
Other services, at UPMC's discretion. Financial Assistance is not typically available for: Insurance copayments. People who fail to reasonably comply with insurance requirements, such as obtaining authorizations or referrals.
Do you have to apply for medical assistance before being approved for financial assistance?from upmc.com
You must apply for Medical Assistance or consider other options prior to being approved for charity care of financial assistance discounts. Note: Except for individuals within 250% of the Federal Poverty Level, this policy does not apply to patients who are insured or underinsured.
What is Pinnacle Health Management?from pinnaclehealthmanagement.com
Pinnacle Health Management consists of registered nurses, care coordinators, licensed behavioral therapists, and physicians, all of whom support and advocate wellness, prevention of uncontrolled disease states, and the provision of the highest quality of care. Learn More.
Where is Pinnacle Health located?from thepinnaclehealthgroup.com
The Pinnacle Health Group is headquartered in the Philadelphia, PA area supporting clients across the United States and internationally.
What is pinnacle marketing?from thepinnaclehealthgroup.com
The Pinnacle provides specific support for pre-launch marketing strategies that incorporates an understanding of payer attitudes and opportunities. The optimal positioning of new products is customized to optimize the return on investment for each of our clients. By capturing specific outcomes information during clinical trials, The Pinnacle team has enabled clients to garner optimum pricing and differentiate their products from formidable competition. Additionally, we have assisted our clients with the development of landmark publications that have enabled companies to disseminate critical economic based data to create a competitive advantage in the market. Through the tactical implementation of reimbursement strategies and managed care contract negotiations we have helped our clients to overcome financial objections and expand market opportunities.
What is the pinnacle team?from thepinnaclehealthgroup.com
The Pinnacle team has a successful track record of developing market strategies and obtaining appropriate reimbursement for new technologies, medical devices and drugs during Phase I, Phase II, product launch and throughout the commercial process.
What is pinnacle experience?from pinnaclehealth.com
Pinnacle has the experience to help you succeed. Whether it is contract negotiations, understanding financial risk, technology solutions, or the complexities of running an accountable care organization, we are your experienced partner.
What is a patient portal?from pinnaclehealthcaresystem.com
The Patient Portal is one of the many new features Pinnacle Healthcare Systems is using to support its commitment to innovation and technology. The Patient Portal lets patients and doctors communicate easily and securely over the internet. Patients receive secure passwords at our office that allow them to access their charts from the comfort of their own homes. The portal makes it easier for your doctor to perform preventative care by using leading-edge technology to promote good healthcare.
We’Re Ready to Help
How Do I Apply?
- UPMC encourages patients to apply for financial assistance if they believe that they are unable to pay all or part of their UPMC bill. 1. Complete the UPMC Financial Assistance Application form (formulario de Solicitud de Asistencia Financiera). 2. Attach supporting documents, listed on the application, to prove your income. 3. Mail your completed ...
Determination of Assistance Amount
- In determining a reasonable and fair level of assistance, UPMC applies a sliding scale. If a patient's income is below 400 percent of the federal poverty guidelines, the patient may receive some form of Financial Assistance. If a patient's income is at or below 250 percent of the federal poverty guidelines: 1. The patient is eligible for100 percentfinancial assistance. 2. The fees for U…
Exclusions
- While UPMC's Financial Assistance Program covers most services, there are some exclusions, such as, but not limited to: 1. Cosmetic services 2. Transplant-related services 3. Bariatric-related services 4. Elective reproductive services 5. Acupuncture 6. Private duty nursing 7. Dental services 8. Services deemed noncovered by Medicare 9. Other services, at UPMC's discretion Financial A…
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