Frye Regional Medical Center is a contracted provider of care for a wide variety of health plans, including the plans listed below. You may use this listing as a guide during open enrollment, or the next time you evaluate your health plan.
If your insurance plan is not listed, please ask your employer to consider a plan that includes Frye Regional Medical Center.
Contracted health plans include:
- Alliance PPO (Mamsi)
- Blue Cross/Blue Shield (all plans)
- Cigna (all plans)
- Coventry Life & Health
- Direct Net
- First Health - PPO
- Guardian Resources Network
- Healthcare Savings - PPO
- Managed Care USA
- One Health Plan of NC, Inc.
- Primary Physician Care
- Southcare - PPO
- United Health Care
Listing updated May 19, 2006
If You Have Health Insurance
We will need a copy of your insurance card, driver’s license, and social security card. We also may need the insurance forms which are supplied by your employer or the insurance company. All patients should familiarize themselves with the terms of their insurance company. This will help with understanding the hospital’s billing procedures and charges.
If You Are a Member of an HMO or PPO
Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your healthcare plan; if so, their services may not be covered.
If You Are Covered by Medicare
We will need a copy of your Medicare card to verify your eligibility and process your Medicare claim. You should be aware that the Medicare Program specifically excludes payment for certain items and services such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations, take-home medications, and others. Deductibles and co-payments also are the responsibility of the patient.
If You Are Covered by Medicaid
We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary. Co-payments are the responsibility of the patient.
If You Do Not Have Insurance
A representative from the Patient Accounting Department will discuss financial arrangements with you. A hospital representative, who is also a representative of the Division of Family Services, is available to assist you in applying for Medicaid or other government assistance programs.
Your Hospital Bill
The hospital is responsible for submitting your bills to your insurance company and will do everything possible to expedite your claim. You should remember that your policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill. We have several payment options available to assist you in paying your bill.
Your bill reflects all of the services you receive during your stay. Charges fall into two categories: a basic daily rate, which includes your room, meals, nursing care, housekeeping, telephone and television; and charges for special services, which include items your physician orders for you such as x-rays or laboratory tests.
If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are professional services rendered by these doctors in diagnosing and interpreting your test results while you were a patient. Pathologists, radiologists, cardiologists, and other specialists perform services and are required to submit separate bills. If you have questions about these bills, please call the number printed on the statement you receive from them.