01/17/08

  Before hospitalization or use of outpatient services, you are responsible for meeting any special requirements of your insurance plan, such as prior approval, referrals, pre-certification, or obtaining a second opinion.

If you have insurance that requires you to contact your Primary Care Physician prior to going to the emergency room, you are responsible for calling your physician for approval.

Most insurance plans have special steps which must be followed unless you are seeking treatment for a life-threatening condition.  Referral forms must be submitted to your insurance company by your physician.  In most cases, the hospital is not allowed to provide referral forms.

Insurance plans are quite different and you need to know your plan requirements.  If they are not met, your benefits can be greatly reduced or denied by your insurance company.

For questions on the above issues, please consult your insurance company, or our   Admissions Department at 620-767-6811 ext. 175.