Insurance

You are responsible for the total charges for the care and treatment you received at The George Washington University Hospital. In most cases, the hospital will accept your assignment of insurance benefits and will forward your hospital bill directly to the insurance company. We will allow 90 days from the date that we bill the insurance company for payment. If you have not received a notice of payment from your insurer within 60 days of receiving a copy of your
hospital bill, we recommend that you contact the insurer directly and encourage speedy payment. If the insurance company has not sent payment to the hospital within 90 days, the status of your account may change from “insurance pay” to “patient pay.” At that time, you will be expected to make a prompt payment.

All patients should familiarize themselves with the terms of their insurance coverage. This will help you understand the hospital’s billing procedures and charges. Please be advised that any discrepancies relating to insurance benefits are primarily the responsibility of the patients to resolve.

If there is a question about your insurance coverage, a member of the Patient Accounting Department may contact you or a member of your family or friend while you are here. Information is needed in order to process your claims.

Accepted Health Plans

The George Washington University Hospital has managed care contracts and arrangements with the following health plans:

• Advantage
• AETNA/US Healthcare
• Anthem BC/BS of VA
• Alliance
• Benefit Concepts
• BC/BS National Capital Area—(Care First) PPO, HMO
• Chartered Health Plan
• CIGNA
• Community Care Network (CCN)
• Corvel
• DC Alliance
• FCE Benefit Administrators
• First Health / Mail Handlers
• Health Payors Organization (HPO)
• Health Right
• Humana
• Kaiser Permanente (Terminated effective January 21, 2011)
• MAMSI/MDIPA/Alliance/Optimum Choice
• Multi-Plan
• National Capital PPO (Unicare)
• National Provider Network (NPN)
• National Preferred Provider Network (NPPN)
• Private HealthCare Systems (PHCS)
• Physicians Medical Group (a.k.a.Fidelity)
• Tricare
• United HealthCare of Mid-Atlantic
• Universal Health Network
• United Health Payors
• Value Options (Value Behavioral Services) Commercial only

Visit Insurance Referral and Pre-certification Requirements for insurance information and requirements related to radiology procedures.

Contract List—revised November 2010