Insurance Information
Virginia Hospital Center participates in the following insurance plans:
Medicaid
Medicare
Please Note: Although the Hospital is participating with these health insurance plans, there may be certain services that your insurance plan may require you to receive elsewhere, except in an emergency, i.e., outpatient laboratory, radiology, physical therapy, EKG/EEG, and pre-op testing. Additionally, Hospital based physicians, (i.e., anesthesiology, emergency medicine, radiology, neonatology, etc.) providing services may not be participating with your health plan. Please contact your plan to check the provider's status, your benefits and for the pre-certification requirements of your health plan.
Financial assistance may be an option for patients with little or no income. These funds are available for Hospital services only. If you feel you may qualify for this assistance, please contact the Patient Financial Services Department at 703-558-2492.
Insurance FAQ's
Even if you have good insurance, a hospital visit may yield a few financial surprises. Do you fully understand what your insurance policy covers? It's important to know what your plan entails before you have to use it. The following questions are worth investigating:
Do the Hospital's doctors participate in your plan?
Hospitals contract with physician groups such as radiologists, anesthesiologists, and emergency department doctors to provide care inside the hospital. These doctors participate in most insurance plans, but not all. You should expect to receive a separate bill from these doctors if they provide services to you. The bill will ask for remittance of charges not covered by your insurance plan.
What coverage can you expect for elective procedures?
Before you arrive at the Hospital for an elective procedure, ask you physician how much the procedure will cost - both in terms of his services and those provided by the hospital. Will you need ancillary services, such as surgical pathology if you are having surgery? Are certain services mandatory according to hospital policy? Does your physician anticipate that you will also need the services of a radiologist, anesthesiologist, or neonatologist?
What about referrals once you're admitted?
If the attending physician wants to refer you to a specialist, ask for one who is in your insurance plan. It may be impossible to accommodate your request, depending on physician availability, but it's worth it to ask. At the same time, question your insurance company about its policies regarding treatment from non-participating providers during hospitalization.
Will your insurance cover a new baby?
If you're pregnant and you and your spouse have separate health insurance plans, consider which policy will offer the best benefits for your baby. What if the baby needs special care following delivery? Are well - baby check-ups covered? Talk with your obstetrician about some of the potential scenarios that could arise. Do you need to choose a pediatrician who has privileges at the hospital to see your baby before it is discharged?
Is it worth it to question a bill?
When you receive an invoice, double check with your insurer, hospital, and physician regarding your payment obligation. In some cases, payment amounts can be negotiated. Make sure you understand the basic benefits and deductibles specified in your insurance plan before you call.
Do you offer financial assistance?
Financial Assistance may be available to patients with little or no income. These funds are available for Hospital services only. If you feel you may qualify for this assistance, please contact the Patient Financial Services Department at 703-558-2492.