Englewood Hospital is committed to protecting our patients from surprise medical bills. In accordance with New Jersey’s new “Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act,” we have provided the information below regarding potential healthcare costs. At Englewood Hospital, we are constantly working to ensure we meet the requirements of the new law and will update the information below as necessary.

If you have health insurance, there are important steps you should take to understand your coverage and protect yourself from unexpected bills. Some of this information may be available on your insurance card. Your insurance card also includes a customer service number you can call to get answers to your specific coverage questions.

Questions to Ask Before Your Hospital Visit

• Before scheduling a procedure at the hospital, ask your insurance company whether you need pre-authorization or a referral.
• Ask your physician to provide you the specific diagnosis descriptions or procedure descriptions. Then ask your insurer if the services ordered by your physician are “covered services.”
• Ask your insurance company if Englewood Hospital is “in network” with your insurance plan.
• Ask your insurance company for an estimate of your total out-of-pocket costs. This may include a copayment, if required by your insurance plan, or a deductible amount that you must pay yourself before insurance coverage kicks in. The Affordable Care Act requires health insurance companies to provide this pricing information to their customers.

In-Network vs. Out-of-Network

Although Englewood Hospital participates in most insurance plans, there may be some plans we are not contracted with. Receiving care from an out-of-network hospital could increase your out-of-pocket costs. To verify your cost for out-of-network services, contact your insurance company directly.

In addition, the physicians who provide care within our hospital might not participate in the same insurance plans as the hospital. You should contact your insurance company or the physician who is arranging your healthcare services directly to see which insurance plans the physician participates in. You should also know that these healthcare professionals do not include their costs in the facility’s charges; they will bill separately.

Physicians and Hospital-Based Physicians Groups We Employ or Contract

See information regarding physicians who are employed by Englewood Hospital.

Below is a list of the physicians or physician groups that have a contract with the hospital to provide certain healthcare services, preventing us from using any other physicians for these services. Regardless of the physician’s relationship with Englewood Hospital, these healthcare professionals’ costs are never included in the facility’s charges and you will receive a separate bill for these services. Please note that this list does not represent an exclusive list of physicians who may provide professional services to you while at Englewood Hospital.

• Teamhealth Anesthesia: 350 Engle Street, Englewood, NJ 07631; 888-983-4885
• Englewood Pathologists, PA: 350 Engle Street, Englewood, NJ 07631, 201-894-3420
• Englewood Radiologic Group: 350 Engle Street, Englewood, NJ 07631; 800-889-4447

Important note regarding emergency care: In cases of emergency, go to the nearest emergency room. In New Jersey, patients receiving emergency care will not be responsible for the added costs associated with care in an emergency department that is out of network.