Financial and Insurance Information

For Patient billing inquiries:
Please contact Patient Financial Services
845.794.3300, Extension 2591

A hospital stay for many patients and their families can be overwhelming simply because of the amount of paperwork - forms to be filled out, information presented and financial or insurance applications. We hope the information provided here can help you feel more comfortable with what Catskill Regional Medical Center offers in assistance and insurances we accept.

Catskill Regional Medical Center will provide healthcare services regardless of your ability to pay in emergency situations. In non-emergent instances, we will work with patients so that health care can be accessed at the most appropriate level so that your needs are met without finances being an issue. We will assist you in obtaining certain financial assistance or direct you to where you can receive services. Our registration process is very comprehensive and includes verifying all demographics, as well as your insurance eligibility. This practice reduces the risk of incorrect information and, at times increases the amount of time for registration. Please understand that the purpose of a thorough review is to assure the best health care is provided to you and your family and with the least amount of financial exposure.

Catskill Regional Medical Center does not know the details of every insurance provider or managed care organization. It is the patient's responsibility to confirm with their own coverage as to where they may go and what is included. The patient is responsible to provide current and accurate information. Failure to do so may result in your insurance company reducing your benefits or penalties.

Financial Assistance Program

Patient Access, 845.794.3300, Extension 2418 or 2241

The purpose of this program is to provide a lower cost for people who have no other insurance. An application can be downloaded here or obtained at our Patient Access Department and at all hospital providers. Also, please refer to the current charity care levels from the State of New York below.

Financial Assistance Income Eligibility Chart
Financial Assistance Application

Medicaid

Medicaid is a program that is run by the State of New York and funded by both the State and the federal Government. Medicaid is for patients who do not have other health insurance. Eligibility is determined by your local Department of Social Services office and is dependent upon family size, earnings and other criteria. Medicaid is very comprehensive and covers nearly all aspects of healthcare. Some services do require a co-payment. We do have assistance for inpatient services provided by a representative in our Patient Access Department. It is best to obtain and coordinate all the benefits you are entitled to from your local office of Department of Social Services.

Catskill Regional Medical Center accepts NYS Medicaid and the following Medicaid HMOs:

• Fidelis
• Hudson Health
• GHI - Child Health Plus
• GHI - Family Health Plus
• MVP
• WellCare

Maternal/Infant Services

Maternal Infant Services does work with Catskill Regional Medical Center to help coordinate benefits and services. Forms are available at our Patient Access Department and are regularly collected to assure all patients who qualify to attain services. The WIC (Women's, Infants and Children) Program is also coordinated with CRMC.

Medicare

Medicare is available for adults who are 65 or older, permanently disabled and receiving Social Security and certain other debilitating conditions. Medicare is a federally administered program and must be obtained through Social Security. Medicare Part A provides inpatient hospital benefits. Medicare Part B allows recipients to obtain other hospital services including but not limited to: emergency services, outpatient surgery, diagnostic testing in an outpatient setting and physician services. Please refer to your Medicare card for your provided benefits and co-payment requirements.

Catskill Regional Medical Center accepts Medicare and the following Medicare HMOs:

• Aetna Advantage
• Aetna Open PFSS
• American Progressive
• GHI Medicare PPO
• HealthNet of NE
• Humana
• Humana Gold
• Oxford
• Medi Blue Senior Plan
• MVP
• United-Empire Plan
• Universal Health Care
• WellCare

Medicare Inpatient Notice of Rights
Aviso de derechos del paciente de Medicare

Health Insurance

Every insurance company and managed care organization has different rules for their policyholders. Coverage differs for each company and even different policies levels within the same company. It is very important that each policy holder understands their plan and benefits. Plans vary in many different ways, including inpatient hospital benefits, allowable surgical procedures, required co-payments and deductibles, physician participation, pharmacy benefits, etc. Typically, contact information can be found to secure this kind of information on the back of your insurance card or the company's website. If you obtain your insurance through your employer, your human resources department can most likely assist and direct you.

Catskill Regional Medical Center accepts the following Insurances and Managed Care Programs:

• AETNA
• CIGNA
• Devon/Ulicare
• Empire Blue Cross Blue Shield
• Excellus
• First Health Network
• GHI HMO
• GHI PPO
• HIP (w/GHI PPO)
• Independent Health Assoc
• INDECS (thru BC/BS PPO)
• Magna Care
• Multiplan
• MVP
• Oxford
• PHCS
• PHS
• POMCO
• Tricare
• United Empire Plan (AARP)
• United HealthCare
• 1199 (thru GHI PPO)
• NYS MEDICAID
• MEDICARE

For Behavioral Health, Catskill Regional Medical Center accepts the following Insurances and Managed Care Programs:

• Beacon Health Strategies
• BeechStreet
• Magellan
• MHN
• United Behavioral Health