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Thank you for choosing Fox Chase Cancer Center and the Fox Chase Cancer Center Medical Group for your health care needs.
Fox Chase Cancer Center and its affiliated physician network have been designated as "Hospital-Based" organizations. For Medicare recipients, this designation affects the way your account is billed to Medicare. Fox Chase is committed to providing exceptional and compassionate health care services, including billing Medicare or your insurance provider on your behalf for all services rendered.
For more information about Hospital-Based Billing, please call 888-336-5897.
Hours to call: 9AM-5PM
Fox Chase patients can now pay all of their bills online, including for care received at other Temple Health locations.
For hospital bills with discharge dates before October 1, 2022, please pay your bill here.
Frequently Asked Questions about Hospital-Based Billing
What does the "Hospital-Based" designation mean?
Medicare and insurance companies recognize integrated health care delivery systems, like Fox Chase Cancer Center, in a distinct way. The term "Hospital-Based" is derived from special rules that Medicare developed. Under these rules, if a physician's practice is owned by a hospital, then his/her practice can be designated as "Hospital-Based," and the physician is paid under hospital outpatient department rates.
Fox Chase Cancer Center owns the medical practice of Fox Chase Cancer Center Medical Group. Under this agreement, Medicare and insurance providers recognize Fox Chase Cancer Center Medical Group as a department of Fox Chase Cancer Center, i.e., the term "Hospital-Based."
How does the "Hospital-Based" status affect me?
Under "Hospital-Based" status, whenever you see a Fox Chase Cancer Center Medical Group physician for any type of outpatient services, i.e., office visits, treatment, etc., Medicare and insurance providers require us to bill all Hospital-Based physician services in two parts.
- A physician fee billed by Fox Chase Cancer Center Medical Group
- An outpatient facility services fee bill
When your medical services are completed, our billing staff will submit two claim forms to Medicare or your insurance company for physician services on your behalf: a bill from Fox Chase Cancer Center Medical Group for the physician charge and one for the outpatient facility charge.
Medicare recipients: You will receive two Medicare Summary Notices (MSN) from Medicare. Once Medicare has paid their portion of the charge, the balance will be submitted to a secondary payor. If there is a balance after the secondary insurance processes the claim, or if you do not have secondary insurance, you will receive a bill for the remaining balance.
Please note: With this billing process, there is no increase in charges being billed to Medicare for patients using Fox Chase Cancer Center Medical Group services. However, Medicare's allowable amount may be different, which may increase your co-payment, coinsurance or deductible portion depending on your insurance. If a balance remains after insurance carrier payments, you will receive a monthly statement, and payment is due within 30 days following the date of billing.
What is the process for submitting a Medicare claim?
All medical providers, both hospitals and physicians, are required to screen Medicare patients according to Medicare Secondary Payor rules. At each visit, Clinic staff may ask you to complete, or update, a "Medicare Secondary Payor" questionnaire. The answers to these questions confirm that either Medicare, or another payor, is the primary payor.
Throughout the billing process, our staff will work with Medicare to ensure your claims are processed correctly. In summary, the submission of claims to Medicare will include two claim forms, one for the physician service and a second for the facility or hospital charge (including laboratory and X-ray services).
Does this mean patients will pay more for services?
Most Medicare patients will be covered by their supplemental insurance and will not have to pay more out-of-pocket. Medicare patients without supplemental insurance will pay a small amount.
For patients with commercial insurance: depending on their particular insurance coverage, it is possible patients may pay more for certain outpatient services. We recommend patients review their insurance benefits or contact their insurance provider to determine what their policy will pay and what out-of-pocket expenses they may incur.
What type of questions should I ask my health insurance company?
Ask your health insurance company whether it covers facility charges or provider-based billing. If it does, ask what percentage of the charge is covered and if you will have a co-pay.
Does this affect patient co-pays or deductibles?
Depending on each patient's specific insurance benefits, additional patient out-of-pocket expenses may be incurred by the hospital-based model.
If you have any questions about your hospital or physician bill, please contact the following Fox Chase Cancer Center representatives.
Billing Inquiries: 844-799-2971
Hours to call: 9AM-5PM