myhealth
515 Main Street, Olean, New York 14760
(716) 373-2600

Olean General Hospital

Financial Transparency - patient pricing

Thank you for choosing Olean General Hospital for your healthcare needs. We appreciate the opportunity to serve you. Olean General Hospital is committed to public disclosure of pricing information, participating health plans, billing and collection practices, and financial assistance programs. Here you will find information on:

 

Olean General Hospital is a participating provider in many health plan networks. You can find a list of the plans in which we participate by clicking here. Some health plans use smaller networks for certain products they offer. It is important to check whether we participate in the specific plan that covers you.

Also, Olean General Hospital contracts with a number of physician groups, such as anesthesiologists, radiologists, intensivists, hospitalists, pathologists, emergency medicine physicians, cardiologists, and other specialists to provide services at our hospital. It is important for you to know that the physician services you receive in the hospital are not included in the hospital’s charges. Physician groups who provide services at the hospital may be independent voluntary physicians and/or groups who bill for their services separately. You should check with the physician arranging your hospital services to determine in which plans your physicians participate in.

You should also check with the physician arranging for your hospital services to determine whether the services of any other physicians will be required for your care. Your physician can provide you with the name, mailing address and telephone number of any physicians whose services may be needed. Hospitals are required by law to make available information about their standard charges for the items and services they provide. This information is available by clicking here or by contacting our Patient Financial Liaison at 716-375-6080.

If you do not have health insurance, you may be eligible for assistance to help you pay your hospital bills. Information about financial assistance is available by clicking here or you may contact our Financial Liaison at 716-375-6080.

Should you have any questions about your bill please contact us:

OLEAN GENERAL HOSPITAL BILLING

(Upper Allegheny Health System)

515 Main Street

Olean, New York 14760

716-373-3000 or 1-855-842-4208 - Monday – Friday - 8:30 AM to 7:00 PM

or

716-375-7331 - Monday – Friday, 7:30 AM to 4:00 PM

or email us at billing@uahs.org

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HOSPITAL CHARGES

Olean General Hospital publishes its most frequent charges in several categories including:

  • Room and Board
  • Observation Rates
  • Inpatient Services
  • Obstetrics Services
  • Emergency Room Services
  • Operating Room Services
  • Laboratory Services
  • Radiology Services
  • Echo Cardio Procedures
  • Respiratory Therapy
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Laboratory Services

The hospital charges are consistent for all patients. The patient’s responsibility may vary, however, depending on insurance contracts and coverage with individual health insurers. For a list of charges, click here.

Should you have any questions about charges please contact us:

OLEAN GENERAL HOSPITAL BILLING

(Upper Allegheny Health System)

515 Main Street

Olean, New York 14760

716-373-3000 or 1-855-842-4208 - Monday – Friday - 8:30 AM to 7:00 PM

or

716-375-7331 - Monday – Friday - 7:30 AM to 4:00 PM

or email us at billing@uahs.org

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DISPUTING YOUR CHARGES

Independent Dispute Resolution (IDR) is a process by which a dispute for a bill for emergency services or an unanticipated or unexpected bill may be resolved. If a patient feels the charges for emergency services or an unanticipated or unexpected  bill are above the normal in-network charges they can file a dispute with the Superintendent of the Department of Financial Services who will assign the dispute to a certified Independent Dispute Resolution Entity. There is an exemption to this process for emergency services resulting in less than $600. To get more information on this process, please contact the Department of Financial Services at 1-800-342-3736.

Understanding Healthcare Prices

PARTICIPATING HEALTH PLANS

Olean General Hospital is a participating provider with the following health plans and health plan networks.

  • Buffalo Community Health, Inc. (Prepaid Health Services Plan)
  • Fidelis - Medicaid only
  • Group Health Incorporated (GHI)
  • Health America Pennsylvania, Inc. (Coventry Health)
  • Health America, Medicaid Managed Care (Aetna Better Health)
  • Health Now (Blue Cross Traditional; Community Blue; Community Care)
  • Highmark Blue Cross (PA Blue Cross)
  • Independent Health Association, Inc. (Commercial/Encompass 65)
  • Magna Care (third party administrator for Aetna, Mutual of Omaha, Great West Life)
  • Medicaid, New York State
  • Medicaid, Pennsylvania
  • Medicare
  • MultiPlan (Connected with PHCS and Statewide PPO)
  • North American Administrators
  • NOVA
  • Today’s Options (American Progressive)
  • United Healthcare (Empire Plan and Commercial) Medicaid
  • Univera (Commercial/Senior Choice; RMSCO)
  • University of Pittsburgh Medical Center (UPMC) – All products

Please contact your health plan if you do not see it listed here.

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PHYSICIAN GROUPS WHO WORK WITH OGH

Your visit to Olean General Hospital may result in billing from various specialists and/or service providers who participated in your care. In addition to the hospital bill, you may receive a bill from your:

  • Ambulance company
  • Anesthesiologist
  • Attending physician
  • Emergency Room Physician
  • Hospitalist – Physicians attending to patients in the hospital
  • Intensivist – Physicians who care patients in our Intensive Care Unit
  • Pathologist
  • Physician specialists such as cardiologists, urologists, orthopedists
  • Radiologist

Normally, insurance carriers will send an explanation of benefits explaining what they have paid and what portion is the patients responsibility. Once the balance is due, it is the patient's responsibility to pay the bill.

ANESTHESIOLOGY

Southern Tier Anesthesiologists, PC

202 North Barry Street

Olean New York 14760

(716) 372-0223   Ext. 10

EMERGENCY DEPARTMENT PHYSICIANS

Keystone

 

HOSPITALIST

Apogee Physicians

2525 East Camelback Road

Phoenix, AZ 85016

(602) 778-3601

INTENSIVIST

JWH Intensivist, P.C.

1789 S. Braddock Avenue

Suite 290

Pittsburgh, PA 15218-1842

(412) 371-9133

PATHOLOGY SERVICES

Olean Pathology Services

908 Niagara Falls Blvd.

Suite 208

North Tonawanda, New York 14120

1-800-539-7310 ext. 15

RADIOLOGY/IMAGING SERVICES

Olean Radiology, PC

PO BOX 6120

Watertown, New York 13601

1-800-924-2620

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BILLING AND COLLECTION PRACTICES

Olean General Hospital recognizes its moral and legal responsibility to provide medically necessary care to all persons regardless of ability to pay. Emergency services and treatment is not delayed or denied pending determination of coverage or prepayment or deposit. Fear of a hospital bill should never get in the way of a patient receiving essential health services from our hospital.

Where patient care has been provided, hospital staff will review the patient’s account to determine if reasonable efforts were undertaken to ensure that financial assistance was offered and/or if financial assistance is appropriate. See Help in Paying Your Bill - Financial Assistance.

Patients with no insurance will receive a “self-pay” discount. No patient is billed at full hospital charges. For non-emergent services, payment is expected at the time of service.

If a patient is unable to pay at time of service, a payment plan can be established that takes into account a patient’s financial situation.

Those individuals that the Hospital reasonably believes have the ability to pay will receive monthly statements using the following guidelines:

  1. An initial statement is sent from the billing company we use to do our private pay billing
  2. In approximately two (2) weeks, the patient will receive a courtesy call to be sure bill was received and to help answer any questions the patient may have. It is also an opportunity to obtain insurance information that  may not have been available when services were rendered
  3. If the account remains unpaid, the patient will receive a second statement thirty (30) days after the initial statement
  4. If still unpaid, the patient will receive a third statement approximately sixty (60) days from the first statement
  5. If no payment activity occurs after the third monthly statement, a collection letter will be sent to the patient. If no response is received within 30 days, the account will be assigned to an outside collection agency

At any time during this billing/collection process patients are encouraged to contact our extended business office at 716-373-3000 or 1-855-842-4208, Monday – Friday - 8:30 AM to 7:00 PM with questions.

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HOW WE GET PAID FOR YOUR CARE

Hospital care payment is determined by standard fees established by Medicare and Medicaid.  Private Health Insurance rates are negotiated through individual contracts with our hospital.  Patient responsibility may vary depending on the individual’s policy with their health care insurance company.

HELP PAYING YOUR BILL

Olean General Hospital recognizes that there are times when patients in need of care will have difficulty paying for the services provided to them. Olean General Hospital’s financial assistance program provides discounts to qualifying individuals based on income. In addition, we can help you apply for free or low-cost insurance, if you qualify. Just contact our Patient Financial Liaison at (716) 375-6080 for free, confidential assistance.

Who qualifies for a discount?

Financial assistance is available for patients with limited incomes and no health insurance.

Anyone who needs emergency services can receive care and get a discount if they meet the income limits.

Everyone who lives in Cattaraugus County or the surrounding area can get a discount on non-emergency, medically necessary services at Olean General Hospital if they meet the income limits. You cannot be denied medically necessary care because you need financial assistance.

Financial assistance is contingent upon a patient’s cooperation in following Olean General Hospital’s application requirements listed below.

What are the income limits?

The amount of the discount varies based on your income and the size of your family. The income limits are listed below:

Family

Size

Annual

Family Income

Monthly

Family Income

Weekly

Family Income

1

Up to $ 47,520.00

Up to $ 3,960.00

Up to $ 990.00

2

Up to $ 64,080.00

Up to $ 5,340.00

Up to $1,335.00

3

Up to $ 80,640.00

Up to $ 6,720.00

Up to $1,680.00

4

Up to $ 97,200.00

Up to $8,100.00  

Up to $2,025.00

5

Up to $113,760.00

Up to $9,480.00  

Up to $2,370.00

6

Up to $130,320.00

Up to $10,860.00

Up to $2,715.00

      *Based on 2016 Federal Poverty Guidelines

What if I do not meet the income limits?

If you cannot pay your bill all at once, Olean General Hospital offers a payment plan to those patients that do not meet the above income limits. The amount you pay depends on the amount of your income.

Can someone explain the discount? Can someone help me apply?

Yes. Free confidential help is available. Call our Patient Financial Liaison at (716) 375-6080.

If you do not speak English, Olean General Hospital has an interpreter service to help.

A hospital representative can advise you how to apply for free or low-cost insurance, such as Medicaid, Child Health Plus or Family Health Plus.

If the Patient Financial Liaison finds that you do not qualify for low-cost insurance, they will help you apply for a discount. You will receive help completing forms and they will tell you what documents you need to provide.

What do I need to apply for a discount?

Olean General Hospital will require a completed Financial Assistance application and proof of income, such as a tax returns or pay stubs. We may also request a Medicaid denial letter.

If you cannot provide any of these, you may still be able to apply for financial assistance.

Financial assistance applications may be obtained from our financial liaison, cashier and/or registration department. Forms are also available by clicking here. You may also request an application and copy of our policy by submitting a written request to Olean General Hospital, Attn: Patient Financial Liaison, 515 Main Street, Olean, NY 14760.

What services are covered?

All medically necessary services provided by Olean General Hospital are covered by the discount. This includes outpatient services, emergency care and inpatient admissions.

How much do I have to pay?

Financial Assistance Plan (FAP) eligible individuals will not be charged more than the Average Generally Billed (AGB) to insured individuals for emergency or other medically necessary care.

Depending on your income, you could qualify for up to 100% off the self-pay rate. Our Patient Financial Liaison will give you the details about your specific discount(s) once your application is processed.

How do I get the discount?

You must fill out the required application form. As soon as we have proof of your income, we can process your application for a discount according to your income level.

You can apply for a discount before you have an appointment, when you come to the hospital to get care, or when the bill comes in the mail.

Send a completed form to Olean General Hospital or leave it with the cashier located in the main registration area. You have up to 240 days after receiving services to submit the application.

How do I know if I was approved for the discount?

Olean General Hospital will send you a letter usually within 30 days after completion and submission of documentation, telling you if you have been approved and the level of discount available.

After applying the self-pay discount and/or after being approved and assigned to the appropriate financial class, you will be billed for any balance due. If the account remains unpaid after appropriate billing attempts, the account may be sent to a collection agency.

What if I receive a bill while I am waiting to hear if I can get a discount?

You cannot be required to pay a hospital bill while your application for a discount is being considered. If your application is turned down, the hospital must tell you why in writing and must provide you with a way to appeal this decision to a higher level within the hospital.

What if I have a problem I cannot resolve with the hospital?

You may call the New York State Department of Health complaint hotline at 1-800-804-5447.

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FREQUENTLY ASKED QUESTIONS

Why would I need price information?
In today's rapidly changing healthcare environment, more people are taking an active interest in how much certain medical procedures cost. This is a result of more people having high-deductible health plans and/or uninsured individuals who have direct responsibility for their healthcare costs. The information we provide on our website provides a general idea of the hospital prices for our most common inpatient, outpatient and diagnostic procedures.

If I have health Insurance how much will I owe?
The amount you owe depends on your insurance plan. Coverage benefits can differ greatly from insurance plan to insurance plan. If you have health insurance, you should contact your insurance company directly to determine what your financial obligation will be. You may be asked to provide a procedure code, which can be obtained from your physician's office.

How much is my copay/coinsurance/deductible?
If you have health insurance and would like to know the amount of any co-pay, co-insurance or deductibles, please contact your health insurance company directly as these are dependent on your insurance plan.

What if the procedure I'm looking for is not on the website?
If you would like more information including payment options or possible financial assistance, or have questions about a procedure or price that is not listed on our site, please contact us by calling the Financial Liaison at (716) 375-6080.

Does Olean General Hospital participate with my insurance company?
Listed here are insurance companies Olean General Hospital currently partners with. Please contact your health insurance company directly to determine if your plan is included.

  • Buffalo Community Health, Inc. (Prepaid Health Services Plan)
  • Fidelis - Medicaid only
  • Group Health Incorporated (GHI)
  • Health America Pennsylvania, Inc. (Coventry Health)
  • Health America, Medicaid Managed Care (Aetna Better Health)
  • Health Now (Blue Cross Traditional; Community Blue; Community Care)
  • Highmark Blue Cross (PA Blue Cross)
  • Independent Health Association, Inc. (Commercial/Encompass 65)
  • Magna Care (third party administrator for Aetna, Mutual of Omaha, Great West Life)
  • Medicaid, New York State
  • Medicaid, Pennsylvania
  • Medicare
  • MultiPlan (Connected with PHCS and Statewide PPO)

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COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN

Olean General Hospital, in cooperation with the Cattaraugus County Department of Health and agencies and organizations throughout the region, completed a Community Health Needs Assessment in 2013.

In compliance with the New York State Department of Health’s Prevention Agenda Olean General Hospitals Community Service Plan for 2013 - 2015 was completed in 2013.

FOOTHILLS MEDICAL GROUP PRICING

Foothills Medical Group offices in New York State are owned and operated by Olean General Hospital. As such Foothills Medical Group New York Offices participate in the follow health plans and health plan networks.

  • Buffalo Community Health, Inc. (Prepaid Health Services Plan)
  • Fidelis - Medicaid only
  • Group Health Incorporated (GHI)
  • Health America Pennsylvania, Inc. (Coventry Health)
  • Health America, Medicaid Managed Care (Aetna Better Health)
  • Health Now (Blue Cross Traditional; Community Blue; Community Care)
  • Highmark Blue Cross (PA Blue Cross)
  • Independent Health Association, Inc. (Commercial/Encompass 65)
  • Magna Care (third party administrator for Aetna, Mutual of Omaha, Great West Life)
  • Medicaid, New York State
  • Medicaid, Pennsylvania
  • Medicare
  • MultiPlan (Connected with PHCS and Statewide PPO)
  • North American Administrators
  • NOVA
  • Today’s Options (American Progressive)
  • United Healthcare (Empire Plan and Commercial) Medicaid
  • Univera (Commercial/Senior Choice; RMSCO)
  • University of Pittsburgh Medical Center (UPMC) – All products

Please contact your health plan if you do not see it listed here.

For more information on specific providers and services within the Foothills Medical Group, log on to www.myfmg.org

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