Requirements
Many insurance plans have pre-authorization requirements. To avoid non-payment or reduction of payments please call your insurance company to clarify your specific benefits and requirements before your visit to the hospital.
Contracted Health Plans
Although we work with most insurance companies, Lincoln Surgical Hospital has “Preferred Provider” status with the following:
Accountable Health Plans
Aetna
Blue Cross Blue Shield
– including Blue Print Health
Cigna
Corvel Healthcare
First Health
Focus
Golden Rule
Great West Healthcare
Medica
– including CHI Medica
Medicaid – including the following managed care plans:
– Molina Healthcare
– Nebraska Total Care
– United HealthCare Community Plan
Medicare – including the following Medicare Advantage plans:
– AARP Medicare Complete
– Aetna Medicare Advantage
– Advantra (HMO)
– Blue Cross Blue Shield Medicare Advantage
– Freedom Blue
– Humana Gold Choice
– United HealthCare Medicare Solutions
Meritain
Midlands Choice
Mutual of Omaha
O’Hara
Principle
United HealthCare
UMR
Please be aware that contracts between insurance companies and Lincoln Surgical Hospital are subject to change. If you have questions about your insurance company or our billing procedures, please contact a Patient Financial Services Representative at (402) 484-9025.
Commercial Insurance
If you have current insurance coverage, we will submit a claim to your insurance company after services have been rendered. After your insurance company has paid their portion of the bill, you should receive final payment information from our facility, which could include statements, letters and phone calls.
Medicare
We will bill Medicare on your behalf for services rendered. We will also submit to your supplemental or private insurance plans. You are always responsible for any applicable deductibles, co-payments, or other amounts not paid by Medicare.
Medicaid
Please be prepared to present your current Medicaid eligibility card at the time of registration. Without verification of your coverage, you will be responsible for your account. We will bill your account to Medicaid when all necessary information has been provided, including your share of cost form, if needed.
Workers Compensation:
When your healthcare service is due to a work-related injury and your employer/carrier accepts responsibility, we will bill your employer/carrier. If we do not receive payment within 45 days, we may ask you to contact your employer/carrier. If your employer/carrier denies your claim, we will bill you directly.
Third Party Liability
If you have been injured in some manner, whether automobile accident, fall, etc., another party may have some legal responsibility for your injuries. Although this matter is between you, your attorney, and the party responsible for your injury, we will bill on your behalf to the carrier you provide to us. If you are a Medicare or Medicaid recipient, health care laws require us to bill the liability carrier first, then Medicare or Medicaid. If the liability provider denies your claim or we do not receive payment within 45 days, we may ask you to contact the liability insurance. In the event that the liability provider denies your claim, we will bill you or your health insurance. Please note if you have Blue Cross Blue Shield, they require us to bill them first for liability.