| Hospital Bill Frequenty Asked Questions
Oconee Regional Medical Center
How do I know if Oconee Regional Medical Center (ORMC) is contracted with my health plan?
To receive full insurance benefits, some health plans require patients to receive services at an “in network” or “participating provider” hospital. Please call your health plan to verify its requirements and to be sure ORMC is in your network.
What managed care organization are affiliated with ORMC?
Click here for a current list of managed care affiliates.
What if ORMC is “out of network,” can I still go there?
In an emergency you should go to the closest hospital. Your health plan will generally cover these costs or transfer you to an “in-network” hospital if it is safe to do so. If you elect to go to an “out of network” hospital in a non-emergency, you may be required to pay a larger deductible or a greater portion of your bill. There are also plans that provide no payment if you select non-emergency care from an “out of network” provider. Be sure you understand your “out of network” options with your health plan.
How can I be sure my health plan will pay my hospital bills?
Some health plans require a patient to pre-certify certain services, or to notify them within a certain period of time after becoming hospitalized. If your hospitalization is not an emergency, we encourage you to review and understand your insurance card and benefit documents your health plan or employer has provided you. On elective procedures you should talk to your doctor’s office and your health plan about coverage. Please discuss additional concerns with the Admission’s Office or Business Office as soon as possible.
If you have questions about your specific bill please either call the Business Services Office at 478-454-3698 or e-mail your question by clicking here. |