Insurance and Billing

Learn about your insurance coverage and billing options at Winship Cancer Institute and what to ask your insurance company.

We encourage you to obtain insurance coverage information directly from your insurance company (refer to the Member Services/Customer Service number on your insurance card) or from your employer's benefits office prior to your visit.

Winship Cancer Institute and The Emory Clinic will file your insurance claims, both primary and secondary. We will work with you to help ensure you receive full benefit from your insurance company, and we will respond to requests from your insurer for additional information.

It is very important for you to be aware of the specifics of healthcare insurance policies. Some types of diagnostic and treatment procedures may not be included in a your coverage plan. Be sure to speak with hospital financial counselors about your hospital bills to determine if reduced rates or monthly payments are available or even suitable.

Things to Ask Your Insurance Company

Recommended questions to ask your insurance company and/or your employer:

  • Does The Emory Clinic and/or your physician participate with my insurance plan?
  • Does my plan require a referral in order to see a specialist?
  • What is my copay amount for a specialist office visit?
  • Specifically, what elements of my care will be covered and at what benefit level?
    • Outpatient care
    • Inpatient care
    • Medications
    • Prescriptions
    • Diagnostic Procedures
    • Labs
  • Are there any limits to my cancer coverage?
  • What is the amount of annual, out-of-pocket expense for which I will be responsible?

Things to Know About Your Billing

Each Emory Healthcare facility manages care centers at multiple locations, including other Emory locations. Services performed at these locations are billed by the facility that operates them. It is important to note that hematology and medical oncology clinics including the ambulatory infusion centers at all Winship locations are operated by Emory University Hospital Midtown.

As of January 2023, we have integrated our breast surgical oncology providers at the Clifton campus location into Emory University Hospital Midtown. Breast surgical oncology patients seen at the Clifton campus location may notice a billing change reflected in the explanation of benefits area provided by their insurance carrier. 

Each visit to an Emory Healthcare location often results in multiple statements. Emory Hospitals charge a "facility fee" for use of the hospital's operating room, recovery room, supplies, medication, room and board for inpatients, and technical services.

Referrals
If your plan requires a referral from your Primary Care Physician before seeing one of our specialists, please be sure to obtain the referral before your appointment.

Co-pays
Please note that co-pays are due at the time of service. If your specialist co-pay amount is not listed on your insurance card, please contact Member Services or Customer Service of your insurance company (refer to the number on your card) to verify your specialist co-pay amount.

Insurance Card(s)
Please provide your insurance information to the coordinator who schedules your appointment and bring your insurance card(s) with you so the Financial Counselor can obtain a copy at the time of your visit.

Online Payment
You now have a fast, secure and convenient way to manage their statements online, 24 hours a day, 7 days a week. Learn about Emory Healthcare's online payment option.

It is Emory Clinic's policy to obtain full payment at the time of service. An Financial Counselor will be able to provide you with an estimate of your upcoming visit and discuss possible financial programs and options.

Contact a Financial Counselor

Winship offers the services of our Financial Counselor, free of charge, to help with the financial demands of cancer treatment. Financial Counselors available at our various Winship locations will:

  • Review your insurance coverage with you.
  • Discuss out-of-pocket obligations.
  • Address concerns you may have with your coverage.
  • Help locate financial coverage options and resources for which you may be eligible.

If you have any insurance or billing questions prior to your visit or between visits, please call (404) 778-7318.

Hospital Price Transparency

All clinical services at Winship locations are operated by Emory Healthcare. Hospital price-related information may help you make better-informed decisions about your healthcare. To learn how much you may be charged for the health care items and services we provide, we recommend you visit the Emory Healthcare website for additional resources and
information regarding price-related information.

The final cost may vary due to insurance coverage and ultimately depends on your unique course of care. Please call your insurance carrier directly to clarify the coverage provided by your specific policy using the phone number on the back of your insurance card.

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