Having this information can help you make informed decisions about your care and assist us in getting the information we need to process your insurance claims quickly and accurately.
You may be eligible for financial assistance. Please contact an NEBH financial counselor at 617-754-5979 for more information about the NEBH Financial Assistance Program or to complete an application.
If you are unsure if you have co-insurance, please contact your insurance company.
For your convenience we accept MasterCard, VISA, and American Express. All costs not covered by your insurance company are your responsibility.
Most of the physicians at NEBH are considered specialists and may require a referral from your PCP.
Some referrals allow for multiple visits, some for a single visit, and others for a specified time period.
Your insurance plan will have this information. You, as the patient, are responsible for obtaining referrals as required.
If you do not have the necessary referrals when you come for your appointment, your appointment may need to be rescheduled or you may be responsible to pay for your physician visit and/or any prescribed procedures.
Did you know that even if you stay in a hospital overnight, you might still be considered an “outpatient?”
“Observation Status” are hospital outpatient services provided to help the doctor decide if the patient needs to be admitted as an inpatient or can be discharged.
A patient under observation may remain in a bed within the hospital while test results are reviewed by a physician, while still being considered an outpatient.
The decision for inpatient hospital admission is a complex medical decision based on your doctor’s judgment and your need for medically necessary hospital care.
An inpatient admission is generally appropriate when you’re expected to need two or more nights of medically necessary hospital care.
Your hospital status (whether the hospital considers you an “inpatient” or “outpatient”) affects how much you pay for hospital services (like x-rays, drugs, and lab tests).
If you have Medicare, this may also affect whether Medicare will cover care you get in a skilled nursing facility (SNF) following your hospital stay.
Please consult the Observation vs. Inpatient guidelines for your insurance plan.
Some procedures performed in radiology are considered surgical procedures and billed accordingly following the payor requirements. Dependent upon the insurance plan, a surgical co-pay may apply.
When you are discharged, your provider, in consultation with your physical and/or occupational therapists, may order or recommend the use of durable medical equipment (DME), such as crutches, canes, walkers, and commodes.
If you have any questions, please contact the NEBH DME Coordinator at 617-754-5789.
Part of our clinical excellence and patient assessment process includes a physical therapy (PT) evaluation performed during Pre-Admission Screening.
This is to assess your present mobility and will provide a base-line to establish post-surgery goals.
Your doctor and NEBH will bill your insurance company on your behalf. Your insurance company may send an Explanation of Benefits (EOB), which will explain a summary of charges and what amount (if any) you will be responsible for.
This is an explanation, not a bill. If you are responsible for the balance, you will be billed by the hospital and/or your physician’s office.
This includes charges for consultants, pathologists, radiologists, anesthesiologists, attending physicians, hospitalists, surgeons, cardiologists, and durable medical equipment ordered by your physician.
Credit and Collection Policy
Credit and Collection Policy (English)
Financial Assistance Policy
NEBH Financial Assistance Policy (English)
NEBH 經濟救助政策 (Traditional Chinese)
NEBH 经济救助政策 (Simplified Chinese)
Application for Financial Assistance (English)
These rights protect you when you receive healthcare, assure you access to needed healthcare services, and protect you against unethical practices.
Your rights include, but are not limited to:
The Centers for Medicare and Medicaid Services (CMS) requires healthcare providers to inform patients about their rights and responsibilities when their physician orders tests and procedures that may not be paid for by Medicare.
Doctors recommend tests and procedures based on a wide range of factors including your personal medical history, any medications you might be taking, and generally accepted medical practices.
While your doctor may find a test or procedure useful in order to provide you with the best care, it is possible that Medicare may not consider the service to be medically necessary.
Medicare covers only those services which it has decided are reasonable and necessary for your treatment based on your diagnosis. If there is a chance that Medicare will deny coverage for a service ordered by your doctor, you will be given an Advance Beneficiary Notice (ABN) form to sign.
The ABN tells you which tests and procedures are not considered reasonable and necessary and informs you that you will be financially responsible for the services if Medicare declines payment.
When an ABN is required, it will be explained to you and you will be asked to sign it before you receive the service.
You have two options when an ABN form is presented to you:
If you are receiving hospital services, NEBH has a financial counselor who can provide guidance to you if you are underinsured or do not have insurance to cover your medical care.
Please call 617-754-5974 or 617-754-5979 to speak with a financial counselor.
Please work directly with your physician’s office for guidance/estimates for all other care.