Health Insurance, Payment and Billing Options

CMH’s Patient Accounting Department can assist you with questions about health insurance, payments and billing for medical services.

Patient Accounting is open Monday-Friday from 8 a.m. to 4 p.m. If you have any questions about your bill or need financial counseling, please contact our office at 518.828.8051. To e-mail a question to the Billing Department, please click here. Please be sure to provide your account number, beginning with a “D” or “H,” and a detailed question.

Within the Columbia Memorial Health network, all Care Centers, the Hospital, and physicians employed by CMH currently accept the following health insurance providers.

Please verify with your insurance carrier, for covered benefits and services.

  • Aetna
  • Aetna Medicare Advantage
  • Blue Cross
  • Blue Cross Medicare Advantage
  • Blue Cross Exchange Product
  • Blue Cross Child Health Plus
  • Blue Cross Essential
  • Blue Cross Medicaid
  • Blue Shield of North Eastern NY (some contracts exclude lab services-see BS matrix)
  • Blue Shield Medicare Advantage (some contracts exclude lab services-see BS matrix)
  • CDPHP
  • CDPHP Essential Plan
  • CDPHP Medicaid Managed Care
  • CDPHP Medicare Advantage
  • CDPHP Exchange Product
  • Champus/Tricare
  • Cancer Services Program
  • Diversified (Herrington and Camphill Contract Only)
  • Fidelis
  • Fidelis Medicare Advantage
  • Fidelis Exchange Product
  • Fidelis Essential Plans
  • Emblem Health (GHI/GHI HMO/HIP)
  • Emblem Health Medicare Advantage (GHI/GHI HMO/HIP)
  • Hamaspik
  • Hospice
  • HRGI-FedMed
  • Humana/Choice Care Network
  • Magna Care Network
  • Martins Point
  • Medicare
  • Medicaid
  • Multiplan/PHCS
  • MVP
  • MVP Gold
  • MVP Exchange Product
  • MVP Essential Plans
  • MVP Medicaid Product
  • Nascentia Health Medicare Advantage
  • No-Fault
  • Optum
  • POMCO
  • The Empire Plan (NYSHIP)
  • United Health Care

Updated Feb. 2020

CMH’s Patient Accounting Department can assist you with questions about health insurance, payments and billing for medical services.

Patient Accounting is open Monday-Friday from 8 a.m. to 4 p.m. If you have any questions about your bill or need financial counseling, please contact our office at 518.828.8051. To e-mail a question to the Billing Department, please click here. Please be sure to provide your account number, beginning with a “D” or “H,” and a detailed question.

Click here for Columbia Memorial Health billing and collections policy and procedures.

Prompt Pay Discounts:

For uninsured patients, CMH is pleased to offer a substantial discount on medical bills, if paid in a timely manner. Please contact our billing number for additional information 518.828.8051.

Hospital Related Services: CMH contracts with a number of outside physicians and physician groups, such as anesthesiologists, radiologists and pathologists, to provide services at the Hospital and other locations. Patients may receive bills from these physicians or physician groups for services received while at CMH.

Some physician services you receive at a CMH facility may not be included in CMH’s billing charges and may not be covered by your health insurance provider. Please see below for contact information for these physicians or physician groups and contact them directly to find out which health plans they participate in. Patients are also encouraged to check which health plans the physician arranging for CMH services accepts.

HOSPITAL RELATED SERVICES

Additional billing for services you received at CMH
CMH contracts with a number of outside physicians and physician groups such as anesthesiologists, radiologists and pathologists, to provide services at the Hospital and other locations. Patients can contact these groups directly to find out which health plans they participate in. Patients may receive bills from these physicians or physician groups for services received while at CMH.

So, some physician services you receive at a CMH facility may not be included in CMH’s billing charges and may not be covered by your health insurance provider. You should contact these physicians or physician groups directly to find out which health plans they participate in.

Affiliated Pathology Services, PC (APS)
If you have received any radiology services at Columbia Memorial Hospital, you could be receiving a bill from the doctor who read your test results. Please contact APS directly to discuss the bill at 518.786.1291 or 1.800.235.0045. The APS mailing address is: 47 New Scotland Ave., mc-80, Albany, NY 12208.

North American Partners In Anesthesia (NAPA)
If you are scheduled for surgery through our Gastroenterology Department, you may receive a bill from NAPA for anesthesia services. Please contact them in regards to your bill at 1.888.240.1793. NAPA’s mailing address is: Customer Service, PO Box 725, Melville, NY 11747.

Lab Corp
Some Lab Corp testing services may result in a bill. Please contact Lab Corp customer service at 800.845.6167 with bill-related questions. Lab Corp’s mailing address is: PO Box 224, Burlington, NC 27216-2240.

Emergency Medical Associates, PLLC: If you received Emergency Room services at Columbia Memorial Hospital, you could receive a bill from the Physician who treated you while you were in the ER. This is a separate bill from Columbia Memorial Hospital. Please contact EMA directly to discuss your Physician bill at 800-345-0064.

Certified Insurance Application Counselors: Our counselors help patients and families with no health coverage apply for insurance.

About our Certified Application Counselors:

Columbia Memorial Health’s Certified Application Counselors help patients and families with no health coverage apply for insurance.

CMH’s Certified Application Counselors can be your guide through the New York State Marketplace of free or low-cost health plans, including The Essential Plan offered by the New York State Department of Health.

Call our Counselors at (518) 828-8051 to make an appointment and get started on your enrollment application today.

Meet with our Certified Application Counselors:

William Blowers

Billing Department
Specialty Services Building
65 Prospect Ave.
Hudson, NY  12534
(518) 828-8051

Office hours: Monday to Friday: 8 a.m. to 4 p.m.

William Blowers joined Columbia Memorial Health in October 2018. He grew up in Edison, New Jersey where he managed the local drug store, Bell Pharmacy, for 7 years. He moved to Hudson in 2016.

William, also known as Billy, is the Financial Counselor for the Hospital and all of the clinics. His friendly and outgoing personality makes applying for health insurance or financial aid an easy process.

He can be reached by phone or email at 518-828-8523 or wblowers@cmh-net.org

Financial Aid Program: CMH offers a financial assistance through its Financial Aid Program, which allows uninsured and underinsured patients to apply for free or reduced cost healthcare.

Please click on links below to learn more about our Financial Aid Policy and for financial aid applications.

If you are interested in this program you may download the application here or read our Financial Aid Policy here. You can also contact one of our Financial Counselors for assistance at 518-828-8051 or billing@cmh-net.org.

CMH also offers: Financial Aid Application in Spanish and Financial Aid Application in Bengali.

If you are a victim of crime, you may be eligible for financial assistance through the Crime Victims Program. Please contact 518.828.8051 for more information or contact the Office of Victim Services at 800.247.8035 or https://ovs.ny.gov

For price estimation please email or call our billing department at 518-828-8051

Standard Charges/Display of Shoppable Services

In compliance with new federal requirements*, Columbia Memorial Health (CMH) is making available a list of our standard charges for items and services that we provide as well as a price list of “shoppable services,” which are services that patients can schedule in advance.

The gross charge displayed is the dollar amount billed to insurance companies for services; however, it is typically not what CMH is paid for a service or what a patient will be responsible for. Payments for services are typically based on rates negotiated with insurance companies and government established fee schedules.

A patient’s potential financial liability is dependent on various factors that can include:

  • actual charges for services provided
  • insurer negotiated payment rates
  • government established payment rates
  • patient co-insurance and deductible responsibilities
  • secondary insurance benefits, qualifying financial aid and prompt pay discounts

The standard charges and display of shoppable services do not include physician or other separately billable provider charges.

Columbia Memorial Health Standard Charges

Standard charges include the following:

Gross charge: The charge for an individual item or service that is reflected on a hospital’s chargemaster that is billed to all insurance companies, before any discounts are applied. (A hospital chargemaster is a comprehensive list of a hospital’s products, procedures, and services.)

Discounted cash price: The expected payment that applies to non-insured individuals who pay cash (or cash equivalent) for a hospital item or service.

Payer-specific negotiated charge: The PAYMENT that Columbia Memorial Health has negotiated with a third-party payer for an item or service.

De-identified minimum negotiated charges: The lowest PAYMENT that Columbia Memorial Health has negotiated with all third-party payers for an item or service.

De-identified maximum negotiated charges: The highest PAYMENT that Columbia Memorial Health has negotiated with all third-party payers for an item or service.

THE STANDARD CHARGE AMOUNT IS TYPICALLY NOT WHAT A PATIENT WILL BE RESPONSIBLE FOR PAYING.

List of Standard Charges

If you have questions or need an estimate for services, please call Patient Financial Services at 518-828-8051.

We recommend that you also contact your insurance company for information about the plan’s payment amount and your patient liability amount or your plans benefit restrictions or coverage limitations.

This pricing information is intended to be informational only and is not necessarily reflective of a patient’s financial responsibility or the amount that will be paid by an insurance plan. A patient’s financial responsibility depends on actual services and procedures performed as determined by the patient’s doctor. Final determination of eligibility and benefits are determined at the time the claim is processed by the insurance plan.

Columbia Memorial Health Shoppable Services

This list represents 300 “shoppable services” that a health care consumer can schedule in advance. Examples of common shoppable services include imaging and laboratory services, medical and surgical procedures. This information is intended to make it easier for consumers to estimate the cost of care before going to the hospital.

List of Shoppable Services

If you have any questions, please contact Columbia Memorial Health at 518-828-8051.

This pricing information is intended to be informational only and is not necessarily reflective of a patient’s final financial responsibility or the amount that will be paid by an insurance plan. A patient’s financial responsibility depends on actual services and procedures performed as determined by the patient’s doctor. Final determination of eligibility and benefits are determined at the time the claim is processed by the insurance plan.

###
*Section 2718(e) of the Public Health Service Act requires that each hospital operating within the United States, for each year, establish (and update) and make public a list of the hospital’s standard charges for items and services provided by the Hospital. Effective January 1, 2021, hospitals are required to make available a comprehensive machine-readable file with all items and services offered by the Hospital and a display of shoppable services in a consumer-friendly format.