Payment & Insurance

Payment and Insurance

Our Admissions Department can provide information about treatment program costs, the insurance utilization process, and payment options. There are several ways to pay for treatment:

Ongoing Medical/Nursing Management

Most Commercial/Private Insurance

County Funding for PA residents

Self-payment

PA Medical Assistance

Medicare

Workers Compensation

Terms of Payments

Payments of all copays, deductibles, and/or coinsurance are due at the time of admission. As a service to you, our office will bill your insurance company. Being a participating provider with most insurance companies, the insurance companies require that we collect these fees, as they are terms of your health care contract. Additionally, patients are ultimately responsible for all balances.
For your convenience, we accept credit cards including Visa, MasterCard, American Express, Discover, and Debit Cards.

Due to the constant changes in health insurance it is your responsibility to know your health coverage. If you should have any questions regarding whether a particular service is covered, it is recommended you contact member services at your insurance company and find out exactly what your contract covers. Their customer service representatives will be happy to assist you.

  • Keystone65
  • Aetna Medicare
  • Bravo
  • Personal Choice65
  • Amerihealth65
  • FreedomBlue
  • Gateway Medicare Assured

* This may not be a complete list. If you do not see your insurance listed, please contact our admissions office at 888-539-8500 to determine if we are a contracted provider.

Medical Recovery Unit

Valley Forge Medical Center and Hospital is committed to greater transparency and has created this pricing list to provide you with more information about how to predict the cost of care for hospital-level treatment at our hospital. While this information lists charges for services, it may not be fully reflective of the out-of-pocket costs for patients. To better understand these costs, we encourage you to contact your insurance company, Medicare or Medicaid referral source, or ask us about self-pay discounts that may be offered. We have posted a comprehensive online list of charges for services and goods that we provide, which is referred to as a “chargemaster.”

Terms of Payments

The chargemaster also reflects the financial discount available for self-pay patients who either do not have insurance or who do not wish to use insurance coverage to pay for their treatment. Please note: the chargemaster provides only charges for hospital-level services, and does not include our residential treatment charges. The list is provided in .csv format, which is accessible with programs like Microsoft Excel.

In addition, there is a list of “shoppable services” (generally, services that can be scheduled in advance) that we provide. This list is in .pdf format that is accessible with programs like Adobe Acrobat and Microsoft Edge.

Please be aware that the information on the chargemaster
and shoppable services list is just a starting point.

It may not be entirely reflective of what a patient may pay. The chargemaster list does not show the prices most patients with insurance, Medicare, Medicaid, or PA County assistance would be expected to pay for their treatment. The chargemaster also does not show what your insurance company would necessarily pay as its share for your treatment on your behalf. The amount you would be expected to pay out of your own pocket for your share of your treatment may differ from the chargemaster and shoppable services list based on many factors, the most frequent being:

Co-payments, deductibles and coinsurance terms of your individual health insurance plan;

Whether we are a participating contracted facility with your insurance carrier;

Whether your coverage has been cancelled or expired before or during your treatment;

Professional fees of Physicians, Certified Registered Nurse Practitioners or Physician Assistants will depend on your specific plan of care;

Benefits of contracted health insurance organizations frequently contain coverage variances (even within their own affiliate systems);

Types and frequency of required medicines, lab studies or other items related to your treatment;

Length
of stay;

An unforeseen
circumstance or event;

Whether you have exhausted your insurance benefits;

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To estimate your particular charges, we encourage you to contact your insurance carrier with questions about your individual coverage, any deductibles that may apply and information specific to your individual insurance plan.

If you don’t have insurance, please talk with your physician or referral source about assistance that may be available through Medicare, Medicaid and your local county.

Also, our admissions staff will do all that we can to provide information to help you estimate what you may be charged for treatment at Valley Forge Medical Center and Hospital. Please contact us directly at: 610-539-8500, ext. 382

We look forward to assisting you in the very near future.