Clifton Fine Hospital is dedicated to providing the best possible care for you and your family members, and that includes helping you understand our financial policies. No one will be denied services based on inability to pay and discounts are available based on family size and income.
Your insurance policy is a contract between you and your insurance company. Because each health insurance plan is different, we encourage you to know and understand your plan’s specific benefits. If you have any questions about the co-payment or deductible that is due at the time of service, we encourage you to contact your insurance company directly. Most insurance cards provide a phone number to call for questions and information.
As a service to you, we will file your insurance claim, but to do so we must obtain correct insurance information at the time of your service at the hospital.
We have made prior arrangements with many health plans to accept an assignment of benefits. This means that the insurance company will pay us directly. We will bill them, and you are required to pay any co-payment or deductible amount due at the time of your visit.
If you are insured by a plan that we do not have a prior arrangement with, we will prepare and send the claim for you on an unassigned basis. This means the insurer will send the payment directly to you. Therefore, our charges for your care are due at the time of service.
Click here to view the insurance companies that Clifton-Fine Hospital currently partners with. Please note that Hospital-employed physicians participate with the same insurances as the hospital.
Remember that not all insurance plans cover all services. In the event your insurance plan determines a service to be “not covered,” you will be responsible for the complete charge. Payment is due upon receipt of a statement from our office.
We will bill your insurance company for all services provided in the hospital. You are responsible for any balance due.
Sliding Fee Scale Payment Program
First and foremost, your financial circumstances will not affect your care. Clifton-Fine Hospital is committed to treating all patients with respect and fairness. If you are worried that you will be unable to pay your bill in full, we may be able to help, we offer a financial assistance program and determination is based on certain guidelines. You may qualify for Clifton-Fine Hospital’s Sliding Fee Scale Payment Program if:
- You do not have health insurance
- Or your health insurance does not cover all of the medical care you need
- Your household income is equal to or less than three hundred percent (300%) of the Federal Poverty Level
Clifton-Fine Hospital does not provide financial assistance under this program for patient balances, including co-pays and deductibles, after insurance payments, as the allowed charges may already be discounted contractually.
Clifton-Fine Hospital will discount all self pay accounts by 20% if the account is paid in full within thirty (30) days of discharge or service or if the account guarantor signs a payment contract and makes the first payment within 30 days of discharge or service as per the Hospital’s “SELF PAY POLICY”.
Clifton-Fine Hospital’s Sliding Fee Scale Payment Program is provided in compliance with Public Health Law 2807-k(-9-a). Public Health Law 2807-k(9-a) states that self pay discounts should be equal to the discount taken by the hospital’s largest volume payer. Clifton-Fine Hospital is a designated Critical Access Hospital and Medicare is our largest volume payer. The formula to calculate Medicare discounts would effectively create no discount at all for self pay accounts. It is Clifton-Fine Hospital’s intent to provide a discount to all patients who do not have primary insurance and will do so based on the discount taken by our largest volume, non-governmental insurer, Blue Cross, plus five percent (5%). Since the current contract with Blue Cross provides a fifteen percent (15%) discount, the current self pay discount will be twenty percent (20%). The Sliding Fee Scale program will be applied to remaining balances after the Self Pay Discount has been applied.
Clifton-Fine Hospital will see patients regardless of their ability to pay. If you need an application by mail, we can provide you with one, just call: 315-848-3351 ext. 207 or send a written request to: 1014 Oswegatchie Trail, Star Lake, NY 13690.
View our Financial Assistance Policy here.
Public Health Law 2807-k(9-a)
Hospital charges are the same for all patients; however, the total charges will vary depending on acuity and length of stay. Click here to download a list representing our most common hospital and ancillary service charges. These charges do not include fees for medications, supplies or additional procedures that may be required in your care. If you have any questions or would like additional information, please contact our billing office at (315) 848-3351, extension 207.
CMS Price Transparency
This is the federally-required section of our website that contains the charges for the services we provide within our facility. While we provide this information to comply with federal regulations, healthcare billing is complex. It is extremely important for you, as the consumer, to understand that standard charges may not be a relevant starting point for estimating what costs you may incur during an episode of care, and the amount actually paid by a patient will depend on that patient’s insurance coverage, policy provisions and other factors. Everyone’s case is different based on that patient’s medical condition. Furthermore, the actual amount paid by a patient will depend on that patient’s insurance coverage, as benefit plans vary greatly.
In an effort to encourage price transparency by improving public accessibility of charge information, a list of all our standard charges can be downloaded here.
What If I Feel I Was Billed Incorrectly or Have Questions?
If you believe that your Clifton-Fine Hospital bill is incorrect, please contact our Business Office immediately at 315-848-4207, Monday through Friday, from 8:00 am until 12:00pm and 1:00pm until 4:00pm. A patient account representative will attempt to answer any questions and/or resolve billing problems. We make every attempt to ensure each bill is correct.
Billing Office Contact Information:
Phone: 315-848-4207 . Office Hours: Monday-Friday 8am – Noon and 1pm – 4pm