Most health insurance companies will cover some or all of the costs of
radiation therapy, including Medicare Part B. If you are concerned about
the costs of your treatment, discuss these concerns with the office staff
at CTI.
Financial Counseling
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Recognizing that a diagnosis of cancer is usually unexpected,
Cancer Treatment Institute provides financial counseling to
patients and their families to assist in alleviating the stress
and strain that can occur. Each patient has access to a financial
counselor who will help evaluate insurance benefits and discuss
your responsibilities. Although you will be expected to pay any
co-payments, deductible or uncovered portions of the charges when
you arrive for your office visit, your financial counselor is
available to answer any questions you might have about
reimbursement and payment. We will do everything we can to help
you and your family. Please do not hesitate to ask questions at
any time.
Cancer Treatment Institute is a participating provider for
Medicare, most commercial insurance plans and accepts most major
credit cards. Your financial counselor will verify your benefits
with your insurance company. Once you and your physician have
determined a treatment plan, your financial counselor will provide
you with an estimate of your out-of-pocket expenses and review the
covered benefits of your insurance plan.
Your financial counselor is your resource person. Should you
experience payment difficulties during your treatment course, your
financial counselor can assist you in managing your account and
resolving problems.
This following list of insurance terms, with brief definitions,
can be useful in understanding your insurance plan. These are
offered to help you understand concepts and programs related to
managed healthcare.
Co-insurance:
Involves the insurer and the insured sharing medical costs
incurred after the deductible has been met. With traditional
non-managed care plans, the percentage that the insured pays is
based on provider charges, sometimes up to a maximum allowable
amount per service. In managed care plans, the percentage the
insured pays may be based upon provider contract rates.
Claim or Insurance Claim:
Notification to an insurance company requesting payment of an
amount due under the terms of the policy.
Co-payment:
A flat fee paid out-of-pocket by the patient for medical services,
usually at the time the service is rendered. This usually applies
to physician office visits, prescriptions, and emergency or
hospital services.
Deductible:
The amount of medical expense a person must pay each year from
his/her own pocket before the insurer or health plan will make
payment.
Explanation of Benefit forms (EOB) or Medicare Summary Notice
(MSN):
Notification to patients from an insurance company or Medicare to
provide necessary information about claim payment information and
patient responsibility amounts.
Gatekeeper:
A term used for a primary care physician that serves as a
patient's initial contact for medical care and referrals.