Insurance and Billing
Learn about your insurance coverage and billing options at Winship Cancer Institute of Emory University and what to ask your insurance company.
Your Health Insurance Benefits
Everyone’s insurance is different, so ask your insurance company or your employer's benefits office about your specific plan.
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?
Accepted Insurances
Emory Helathcare accepts most major insurance plans, including private and employer-based plans, Federal health insurance marketplace plans, as well as traditional Medicare and Medicare Advantage plans.
Your Billing with Emory Healthcare
Each Emory Healthcare facility manages care centers at multiple locations, including other Emory locations. Services provided at these locations are billed by the facility operating them.
Visiting any Emory Healthcare location often results in receiving multiple statements. Emory Hospitals charge a "facility fee" covering services such as use of operating rooms, recovery rooms, supplies, medications, technical services and inpatient room and board. It's important to note that hematology and medical oncology clinics, including ambulatory infusion centers at all Winship locations, are operated by Emory University Hospital Midtown.
Starting January 2023, our breast surgical oncology providers at the Clifton campus location have been integrated into Emory University Hospital Midtown. Patients receiving breast surgical oncology care at the Clifton campus may observe a billing change reflected in their insurance carrier's explanation of benefits.
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 your insurance company's member services or customer service (refer to the number on your card) to verify your specialist co-pay amount.
Insurance Card
Please provide your insurance information to the coordinator who schedules your appointment and bring your insurance card, or cards, 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 bill pay.
It is The Emory Clinic's policy to obtain full payment at the time of service. A financial counselor will be able to provide you with an estimate of your upcoming visit and discuss possible financial programs and options.
Meet with a Financial Counselor
We provide free financial counseling to help you manage the financial aspects of cancer treatment. Our financial counselors, available at multiple Winship locations, will:
- Review your insurance coverage
- Discuss any out-of-pocket costs
- Address any concerns you have about your coverage
- Assist in finding financial coverage options and eligible resources for you
For any questions regarding your billing, please call Emory Healthcare Billing at 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.