Billing & Insurance

Prairieville Family Hospital participates with most private insurance plans but is not able to accept Medicare or Medicaid. We also accept cash, checks or major credit cards. We have self pay options that are very reasonable.

 

For billing questions contact 855-549-1470

Prairieville Family Hospital accepts private insurance plans such as Aetna, Humana, United Health, Cigna, and BlueCross/BlueShield. We also accept out-of-pocket payment in the form of cash, checks or credit cards. Your ER co-pay will be collected at the time of your visit. We will then bill your insurance company for the policy’s emergency room benefits. There will be two different claims mailed to your insurance company: the facility bill and the physician bill. If you have any questions concerning your bill please contact us.

If you have health insurance, you will receive an EOB (explanation of benefits) from your insurance company in the mail.

It is important to note that the EOB is not a bill.

Prairieville Family Hospital is classified as out-of-network with many insurance companies; however, Prairieville Family Hospital does honor all in-network deductibles and benefits for emergency care.

Workers’ compensation is a legal remedy whereby an employee who is injured on the job may be entitled to certain benefits. The benefits can include medical care for the injury, indemnity wage benefits, vocational rehabilitation services, and/or death benefits. These benefits are the obligation of the employer and are paid directly to the employee by the employer or its workers’ compensation insurer. Every employer, unless statutorily exempted, is responsible for the medical care and the payment of indemnity wage benefits to any employee who is injured while in the course and scope of his or her employment.

For more information on workers’ compensation, visit this page.

For all cases deemed emergent, Louisiana state law requires your insurance company to pay for your emergency care, even if the emergency room is classified as out-of-network. The state of Louisiana empowers patients to use a standard called the prudent layperson standard when determining what constitutes an emergency.

If your insurance provider is refusing to reimburse you for your emergency room visit, you can file a complaint with the Louisiana Department of Insurance (LDI). For more information about this process and the Louisiana Department of Insurance visit http://www.ldi.la.gov/

We accept cash, checks and all major credit cards, including Visa, MasterCard and Discover

You will be asked to pay your ER co-pay at the end of your visit.

All services will be processed through our billing department and sent to your insurance provider.

An EOB is an “Explanation of Benefits”. It is NOT a bill.

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