11711 Livingston Road Fort Washington, MD 20744 |  301-292-7000 |  Employee Inclement Weather Policy  |  Adventist HealthCare

Billing & Insurance

Thank you for choosing Fort Washington Medical Center for your health care needs. We will do everything we can to expedite your claims for the hospital services you receive. Please have your insurance cards available during your hospitalization. The hospital is responsible for submitting bills to your insurance company. However, it is important to remember that you are responsible for the payment of your bill.

Please check with your insurance company—prior to your hospital stay—to determine the extent of coverage; or whether pre-authorization by your insurance company is required.

You may have questions about billing, insurance or money concerns before your hospital stay.

Here you can find:

FREQUENTLY ASKED QUESTIONS (FAQS)

  • When you get treatment at the hospital, we bill your health insurance provider directly.
  • Your health insurance may require you to make a co-payment at the time of service. A co-payment is a fee your insurance set for you to pay each time you see a provider.
  • You are required to pay in advance for any cosmetic services and for services, your insurance deems not medically necessary.

Doctors’ services are not included in your hospital bill. Your doctors bill you separately for their services.

Your bill from FWMC is for services you receive from nurses, social workers, dietitians, therapists and other hospital staff. It also includes charges for your room, meals, supplies, medications and diagnostic tests.

Medicare usually covers services that are considered “Medically necessary” which is a term Medicare uses to describe the services they feel are “reasonable and necessary” to treat or diagnose an illness or injury. Talk to your doctor about options that Medicare may cover.

If your doctor prescribes a service that Medicare may not cover, we ask you to sign an Advance Beneficiary Notice ABN). This form states you are responsible to pay if Medicare denies coverage.

You have the right to appeal a Medicare decision of non-coverage. If you want to file an appeal or have other Medicare-related questions, please call the Medicare Beneficiary Hotline at 800-633-4227.

If you have a managed care or HMO plan and need to go to the emergency room, your plan may require you to contact them to get authorization within 24 hours. For services other than emergency visits, your insurance may require specific facilities type of services. It is important to consult your insurance handbook or contact your insurance for specific guidelines for covered services. With Manage Care Plan, it is your responsibility to obtain referral for services that requires referral.

FINANCIAL ASSISTANCE

Here at FWMC we provide medically necessary services to everyone, no matter your ability to pay. If you think you cannot pay for a medically necessary service, please call our Financial Counseling office at 301-203-2154. We do everything possible to expedite your claims for medical services you receive. While we are responsible for submitting your bills to insurance companies, you are responsible for paying those bills. We understand, however, full payment is not always possible for all patients. If you are in need of financial assistance, we may have options for you to consider. We follow a compassionate policy on payment practices and uninsured billing for those who are in need in our community.  FWMC aims to provide assistance so that everyone can get the quality health care you deserve.

You may qualify for federal or state programs for financial assistance that cover some or your entire bill. We can help you apply for those programs. We also offer financial assistance directly if you meet certain federal poverty guidelines.

COST OF CARE

Estimated Average Charges for Common Procedures

The following information provides estimated average charges for common inpatient and outpatient procedures at Fort Washington Medical Center. This information is based on the patient charges actually incurred for these services during the previous six months. Such amounts may be used to estimate the charge for services that patients may incur.

Please note that these are only estimates and are subject to change without notice. The actual cost of your procedure may be higher or lower based on factors specific to your case, such as your length of stay in the hospital and the complexity of your medical condition. If you have questions regarding an estimated charge, please contact a Fort Washington Medical Center Financial Counselor at 301-203-2154.

These estimates reflect hospital charges only. They do not include physician or other provider fees that are billed separately from the hospital fees. You may receive bills from multiple physicians for their services, including but not limited to your anesthesiologist, hospitalist, pathologist, radiologist, cardiologist, emergency room physician, and other specialists who participate in your care. If you have questions regarding the bill for their services, please contact the individual provider.

Download the FWMC Charge Description Manual

Privacy
We are in full compliance with HIPAA and will not release information without your consent per the standard HIPAA agreement.

INSURANCE COVERAGE

When you receive care at Fort Washington Medical Center, we will bill the health insurance you provide for you. Upon entry, we will ask for a copy of your insurance card. It is important that you provide us complete and accurate information. Otherwise, you may be responsible for paying for your care in full.

We accept most major insurance plans. For scheduled procedures, we will work with your physician/insurance company to obtain authorization prior to procedure. We will also ask for your copayment or coinsurance at the time of service. If you do not have insurance coverage, or do not provide us your information, you will be responsible for paying for your care.

If you need insurance coverage, please visit Maryland Health Connection.

l 301-203-2154.

INTERPRETER SERVICES

Notice Under Section 504 of The Rehabilitation Act of 1973

In accordance with the requirement of Section 504 of the Rehabilitation Act of 1973 (Section 504), Fort Washington Medical Center (FWMC) does not discriminate on the basis of disability in admission to, participation in, or receipt of services and benefits under any FWMC program or activity. FWMC does not retaliate or discriminate against, or coerce, intimidate or threaten any individual who (1) opposes any act or practice made unlawful by Section 504 or (2) files a grievance and/or complaint, testifies, assists, or participates in any investigation, proceeding, or hearing under Section 504.

Provision of Auxiliary Aids and Effective Communication: FWMC will generally, upon request, provide appropriate auxiliary aids leading to effective communication for qualified persons with disabilities so they can participate equally in FWMC services, programs or activities, including qualified sign language interpreters, and other ways of making information and communications accessible to people who have speech, hearing, or vision impairments. FWMC will not place a surcharge on a particular qualified individual with a disability or any group of qualified individuals with disabilities to cover the cost of measures, such as the provision of auxiliary aids or program accessibility, that are required to provide that individual or group with nondiscriminatory treatment required by Section 504. Anyone who requires an auxiliary aid for effective communication to participate in an FWMC service, program or activity, should contact the program coordinator as soon as possible but no later than 48 hours before the scheduled event. Grievances alleging that an FWMC service, program or activity is not accessible to persons with disabilities should be directed to the 504 Coordinator, at 301-203-2210. Filing a grievance with the Section 504 Coordinator does not prevent the applicant, resident and/or his family member or guardian from filing a complaint with the Office for Civil Rights, U.S. Department of Health and Human Services.

Foreign Language Interpreter Services
Foreign language interpreter services are available free of charge for patients and their escorts.

SPANISH VERSION

AVISO DE PRÁCTICAS IGUALITARIAS

De acuerdo con los requisitos del Artículo 504 de la Ley de Rehabilitación de 1973, el Fort Washington Medical Center no comete acto de discriminación alguna sobre la base de la discapacidad. Asimismo, se brindará asistencia auxiliar sin cargo alguno para los pacientes y/o acompañantes hipoacúsicos o sordos. El FWMC no tomará represalias, ni adoptará políticas discriminatorias, y se abstendrá de recurrir a la coerción, intimidación o amenazas contra todo individuo que: (1) se oponga a algún acto o práctica que fuera legítimo de conformidad con el Artículo 504 ó (2) que presente una queja y/o demanda, testifique, colabore o participe en una investigación, procedimiento o audiencia, de conformidad con lo consagrado en el Artículo 504. Si usted desea presentar una queja por discriminación en razón de una discapacidad —lo cual puede incluir una demanda por incumplimiento en la provisión de la asistencia auxiliar apropiada— sírvase comunicarse con nuestro coordinador del Artículo 504, llamando al 301-203-2154.