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Billing, Insurance, and Financial Assistance


Need help paying your bill?

PLEASE CALL 844.419.2701 for Billing Questions

The Mission of Bon Secours Charity Health System is to provide compassionate, quality healthcare services to those in need, regardless of their ability to pay.
If you do not have health insurance we can help. You may qualify for financial assistance through a government-sponsored program or through the Bon Secours Financial Assistance Program. Our staff is available to help you with the application process.

The Bon Secours Financial Assistance Program aids uninsured patients who do not qualify for government-sponsored health insurance and cannot afford to pay for their medical care. Insured patients may also qualify for the Bon Secours Financial Assistance Program depending upon family income, family size and medical needs.

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Additional Information

Charity Healthy System Hospitals (Good Samaritan Hospital, Bon Secours Community Hospital, and St. Anthony Community Hospital) are participating providers with the the health plan networks listed below. Click the image below for a list of the plans with which the hospitals participate.

  

To check with physicians employed by the Bon Secours Charity Health System Medical Group or Bon Secours Charity Health System about their health plan participation click HERE.

To check with the our contracted physician groups about their health plan participation (such as anesthesiologists, radiologists and pathologists) click HERE.

Your physician will also be able to tell you whether the services of any physicians employed or contracted by Bon Secours Charity Health System are likely to be needed for your service (such as anesthesiologists, radiologists and pathologists.) You can find the contact information for these doctors or groups directly to find out which health plans they participate in by clicking

*Please note all lists are subject to change and all patients should check with their insurance companies for coverage details prior to admission*


Customer Service / Financial Assistance Department
400 Rella Boulevard
Suite 308
Suffern, NY 10901
844.419.2701

Online Cost Estimator Tool

Access the Online Cost Estimator Tool here: https://mychart.mybonsecours.com/mychart/Guestestimates.

The information contained in this file is being provided in compliance with the Centers for Medicare and Medicaid Services (CMS) requirement for hospital to provide on online cost estimator. You can also utilize the online cost estimator tool below to get out-of-pocket costs for common procedures at Bon Secours Community Hospital, Good Samaritan Hospital, and St. Anthony Community Hospital.

Although the estimator will take into consideration the insurance plan, if any, along with any patient responsibilities, please note that estimates are not a guarantee of the final bill. Your out-of-pocket costs will depend upon actual services that you receive, and, if you are insured, the hospital’s negotiated rates with your insurance plan and your insurance coverage. Your insurance coverage determines your co-payment, co-insurance percentage, and annual deductible. Please call your insurance company for a more accurate representation of your responsibility. PLEASE NOTE THESE ESTIMATES ONLY INCLUDE SERVICES PROVIDED BY THE HOSPITAL AND DO NOT INCLUDE FEES FROM YOUR SURGEON, ANESTHESIOLOGIST AND/OR OTHER PROFESSIONAL SERVICES BILLED BY THE PHYSICIAN AND OTHER PROFESSIONAL PROVIDERS. Typically, you will be billed separately for these professional services. Please call your physician office for additional information.

*By accessing the file, I understand and accept the disclaimer above

Chargemaster Disclaimer

The information contained in this file is being provided in compliance with the Centers for Medicare and Medicaid Services (CMS) requirement for hospitals to post a list of their standard charges, also called chargemaster, online in a machine-readable format.  The chargemaster (charge description master or CDM) is the list of all individual items and services maintained by a hospital for which the hospital has established a charge.  A chargemaster rate represents the dollar amount assigned to specific medical services before application of any negotiated discounts to third-party payers. The actual hospital charges will vary based on the type of care provided, treatments, individual health conditions and other factors. 

To view the hospital's chargemaster rates, reference the following documents.*

Charges and rates updated 01/12/2022 and are subject to change. The chargemaster information, by itself, is not used to determine how much patients may need to pay, or to compare what a patient might owe a hospital.  Your out-of-pocket costs will depend upon actual services that you receive, and if you are insured the hospital’s negotiated rates with your insurance plan and your insurance coverage.  Your insurance coverage determines your co-payment, co-insurance percentage, and annual deductible.   Please call your insurance company for a more accurate representation of your responsibility.  You may also call us at 844.419.2701 to get additional information.

PLEASE NOTE THESE CHARGES ONLY INCLUDE SERVICES PROVIDED BY THE HOSPITAL AND DO NOT INCLUDE FEES FROM YOUR SURGEON, ANESTHESIOLOGIST AND/OR OTHER PROFESSIONAL SERVICES BILLED BY THE PHYSICIAN AND OTHER PROFESSIONAL PROVIDERS. Typically, you will be billed separately for these professional services.  Please call your physician office for additional information.

*By accessing this file, I understand and accept the disclaimer above

 

 

No Surprises Act

Your Rights and Protections Against Surprise Medical Bills (NSA Disclosure)

Consumer Guide to Healthcare Prices

No Surprise Act Factsheet: Health Insurance Terms You Should Know

No Surprise Act Factsheet: How Do I Read My Medical Bill?

No Surprise Act Factsheet: What's a Good Faith Estimate?

No Surprise Act Factsheet: Health Care Notice and Consent Form