We are pleased that you have chosen us for your psychiatric care and we are committed to enhancing the value and quality of your care.
To ensure the success of our commitment to value and quality of care, we must be financially responsible. It is important that we are paid for our services in a timely manner, either by you, your insurance provider, or the designated provider responsible for the services provided.
We understand that coping with medical bills and insurance claims can be difficult and at times stressful, therefore it is our goal to help you understand the process. This section is intended to answer frequently asked questions about payment of services provided by PPI.
Your Guide to Patient Billing and Payment Policies
Your Insurance Plan
Many changes have taken place in the health insurance industry in recent years. Procedures and services once covered in full are now partially covered, covered only under certain circumstances or in some cases, not covered at all. Every insurance plan is different; please be sure to check your insurance and ask questions before coming to any of our facilities Many insurance plans and health maintenance organizations (HMOs) now require pre-admission approval and/or second opinion for certain procedures. For your own peace of mind, we advise that you know the benefits of your insurance plan.
Insurance Cards and Forms
Having your insurance information readily available will facilitate processing your admission and billing questions. During your time with us, if Patient Registration did not get copies of your insurance cards at Pre-admission testing or Admission, please provide them with the information in order to avoid billing problems. It is important for all patients to sign numerous documents. Insurance regulations dictate that certain forms be signed for each admission for payment to be made.
Payment Arrangements
Anyone who requires immediate services at PPI will be treated regardless of his/her ability to pay. Uninsured patients that do not have an urgent or emergent need for treatment will need to discuss their financial arrangement with a financial counselor prior to receiving services. For those insured patients with out-of-pocket financial responsibilities for deductibles, coinsurance, and co-pays, these payments may be requested at time of service.
If you have any questions about the estimated charges for treatment you require or need to set up a payment plan, please call our financial counselors Toll Free 1-855 797-4226. PPI is committed to treating patients who have financial needs with the same dignity and consideration that it extends to all of its patients.
Self-Pay
PPI welcomes self-pay patients when no insurance coverage is available. Patients who have no insurance are expected to pay in full at the time of service. Note – PPI offers a 15% discount for full and timely payment. We accept cash, personal checks, VISA, MasterCard and Discover.
Billing Cycle
Statements are mailed monthly after all insurance has been billed.
Accepted Insurances
You can see a complete list of our accepted insurance providers here.
Frequently Asked Questions
How do I know if my insurance will cover the cost of my service?
Our billing representatives will verify your insurance coverage when you pre-register for your service and they will inform you if there are any problems with your coverage.
When do I make my co-pay?
When you register for your service, you will be provided an estimate of financial liability—including your co-payment—that are not covered by your insurance. You should make payment for these charges upon discharge. Methods of payment accepted include cash, check, VISA, MasterCard and Discover.
I have questions about my bill. Who can I call?
If you have questions about your bill, please call our customer service representatives Toll Free (855) 797-4226 Monday through Friday between 7:30 a.m. and 6:00 p.m.
What if I cannot pay my bill?
You will need to call a customer service representative Toll Free (855) 797-4226 to make arrangements to pay your bill.
How will I know if my insurance company has paid my bill?
Your insurance company is required to send you correspondence regarding the status of your bill and payment.
How to contact us…
Customer Service Toll Free 1- 855 797-4226.
Understanding the Cost of your Care
At PPI, we understand that navigating your healthcare costs can be challenging. There are many factors that determine your out-of-pocket responsibility and we recognize that estimating that cost before you receive services helps in making an informed decision.
The information available here is only an estimate. Should you not be able to pay your responsibility, please do not forgo treatment without contacting our Patient Services Representatives to see if you may quality for any of our assistance programs.
Advancement in Recovery Price Transparency File 07.01.2021
Division Street Services Price Transparency File 07.01.2021
Third Street Services Price Transparency File 07.01.2021
Charity Care and Financial Aid
Patients seeking care at PPI shall be treated without regard to their ability to pay for such care. In addition, PPI has a Charity Care Policy that applies to other health services if you qualify.
We will assist you in obtaining health insurance coverage from privately and publicly funded sources whenever appropriate.
Charity Care and Financial Assistance Policy
Financial Aid Cover Letter
Financial Application
Financial Assistance
We understand that you may not be able to pay your bill due to unfortunate circumstances or lack of insurance coverage. PPI offers financial aid. If you would like to apply, please call our customer service representatives at Toll Free 1- 855 797-4226.
Financial Assistance for Pennsylvania Psychiatric Institute patients – Plain Language.
Pennsylvania Psychiatric Institute (PPI) knows that some people cannot pay for all or part of their healthcare services. It is PPI’s policy to provide needed psychiatric care to all patients in spite of their ability to pay. To do this we have a policy for financial aid to help those who qualify. Our policy applies to all patients who want to take part in the process to determine their ability to pay for services. We will do this in a way that maintains each person’s right to dignity and privacy.
If you have questions about this help please call PPI’s Patient Financial Services Customer Service Line at 1- 855 797-4226.
All patients who tell us they cannot pay can take part in a process to see if they are eligible for the Medical Assistance Program under our Financial Assistance Policy.
All who apply will be treated without prejudice and without discrimination.
All patient income and qualifying patient family income will be included when deciding if the patient qualifies for Financial Assistance.
How can you get more information or a copy of the Financial Assistance Policy?
Download or print a copy of the PPI Financial Assistance Policy plain language summary here.
Contact PPI’s Patient Financial Services Customer Service Line 1- 855 797-4226.
Complete the application. Proof of residency, income and dependents will be required.
Disclaimer
PPI makes every effort to provide accurate information regarding your costs after insurance. Please notes that what is charged for a service usually does not reflect your out-of-pocket responsibility as many other factors typically affect your bill.
The information contained in this file may still vary from the final cost a patient sees on a bill. We encourage patients to reach out to our Patient Services Representatives by calling 855-797-4226.
In addition, this site meets the Centers for Medicare and Medicaid Services (CMS) requirement that went into effect on January 1, 2019 to provide the Chargemaster Fee Schedule.