Knowing your insurance and financial options is an important part of your overall care and treatment. The information on this page will help you understand the financial aspects of your treatment and provides options for managing your insurance and payments.
We recognize that each patient’s medical situation and insurance coverage is unique. Although there’s no guarantee of coverage, you should ask your insurance provider to review your request with City of Hope. Even if your plan doesn’t cover care at City of Hope, you can still ask your insurance company to authorize treatment with us.
While we welcome any questions you have, know that you’ll need to speak directly to your insurance company about your specific coverage. You can usually find a contact number on your insurance card or in your benefits book.
At City of Hope, we accept a wide range of insurance and coverage types, including PPO, Covered California, HMO and Medicare. The button below provides a complete list of the coverage types we accept.
This state-run health insurance marketplace offers both individuals and families the option of purchasing plans through Covered California or off-exchange.
Contact your insurance company and ask about obtaining authorization to receive treatment at City of Hope. Every medical situation - and every insurance plan - is different, and there is no guarantee that coverage can be secured. But it is reasonable to make this request, and to ask your insurance company to review the matter with City of Hope directly.
City of Hope can still provide treatment even if your plan will not authorize the treatment, or you do not have insurance. In these instances, a deposit is required prior to commencement of treatment. Contact New Patient Services at (855) 276-9207 for more information.
Obtain an HMO Provider Directory booklet from your insurance company and search for a PCP in your area that is also listed with the City of Hope Medical Foundation. See Is My Medical Insurance Accepted?
Not necessarily. Authorizations are granted based on various criteria, one of them being contractual relationships, but other more significant factors play a key role in this process. Typically, your medical group's Utilization Management/Case Management Departments, in conjunction with the PCP's Medical Director, make decisions regarding authorizations.
Please refer to the back of your insurance card and call the applicable Customer Service or Member Services Department and inquire about your appeal rights. You may also refer to the California Department of Managed Health Care at www.dmhc.ca.gov or 1-888-HMO (466)-2219 for further assistance.
City of Hope National Medical Center contracts for hospital/technical services only. City of Hope Medical Foundation contracts for physician services rendered at City of Hope National Medical Center and in our community practice sites.
City of Hope National Medical Center and City of Hope Medical Foundation contract with most major health plans for hospital and physician services. For a list of contracted health plans, follow the link to Is My Medical Insurance Accepted? In addition, City of Hope is a participating provider in government programs such as Medicare, MediCal and Tricare/Champus.
If the bill in question was sent from City of Hope National Medical Center, please call Patient Financial Services at 1-800-270-HOPE (4673).
However, if the bill was sent from the City of Hope Medical Foundation (to cover physicians' professional services), please contact the Medical Foundation at 1-626-775-3200.
Because they are separate entities, City of Hope National Medical Center contracts for hospital/technical services only. City of Hope Medical Foundation contracts for professional/physicians' services only.
If you are insured by an HMO, and wish to receive treatment or services at City of Hope, you must obtain an authorization from your health plan and/or medical group for both hospital services and physicians services.
For any applicable co-payments, deductibles, or non-covered services, you may receive a bill from City of Hope National Medical Center and/or the City of Hope Medical Foundation.
Yes, City of Hope National Medical Center will bill your insurance company for your hospital services. However, you are financially responsible for any part of your medical bill that is not covered by your insurance. This includes your co-payments, deductibles and any non-covered services.
Insurance coverage will vary depending upon your insurance company, your plan and the state in which you live. We recommend that you speak with a representative from your insurance company to ensure that your treatment is covered. Your insurance company can also tell you about any applicable co-payments or deductibles for which you will be responsible. You may also contact City of Hope Financial Support Services at 1-626-256-HOPE (4673), ext. 62715, for assistance. Because individual or group benefits vary, City of Hope cannot answer questions regarding your specific benefit coverage.
NOTE: If you belong to an HMO, your insurance will not pay for your health care unless you have an authorization. A written authorization, which gives you permission to be treated, must be obtained from your insurance company/medical group before each planned admission and each type of outpatient treatment, e.g. chemotherapy, ambulatory surgery, or diagnostic service.
Yes, the City of Hope Medical Foundation will bill your insurance company for your physician services. (The bill for physicians' services will be separate from the one sent to you by the medical center for hospital services.) However, you are financially responsible for any part of your medical bill that is not covered by your insurance. This includes your co-payments, deductibles and any non-covered services.
Patient Referral counselors, who can be reached at 1-800-264-4377, triage patient information and place referring physicians in contact with City of Hope physicians to discuss appropriate treatment options and/or clinical trials.
You can also be directed to a physician's office by calling the number above.
If you are not currently contracted for hospital/technical services with City of Hope National Medical Center, and you either wish to establish a letter of agreement for your member, or you wish to explore the possibility of a contract or agreement, please contact the Managed Care Department at 1-626-256-HOPE (4673), ext. 86850.
If you are not currently contracted for professional/physician services with the City of Hope Medical Foundation, and you either wish to establish a letter of agreement for your member, or you wish to explore the possibility of a contract or agreement, please contact the Managed Care Department at 1-626-256-HOPE (4673), ext. 86850.
Dictations of clinical services and treatments received at City of Hope are available to allow physicians to stay informed about the care a patient is receiving. The patient must give consent prior to the release of any medical information. Referring physicians may also contact the physician's office at any time during treatment. Call the City of Hope operator at 1-626-256-HOPE (4673) to be connected.
If you practice in the United States, please call us at 1-800-264-4377 or visit the refer a patient page.
Physicians from outside the U.S. can also refer a patient by calling (855) 276-9207 or by visiting the refer a patient page. Because of the level of detail necessary to make an evaluation, as well as time differences, it may be preferable to use email as your first contact. Please be prepared to provide a complete clinical history so a treatment plan can be prepared and tentative cost can be evaluated.
Note that international patients will be responsible for 100 percent of anticipated charges before an appointment for consultation can be scheduled.
City of Hope National Medical Center and the City of Hope Medical Foundation are distinct, separate entities. City of Hope National Medical Center contracts for hospital/technical services only. City of Hope Medical Foundation contracts for professional services only.
City of Hope National Medical Center and City of Hope Medical Foundation contract with most major health plans for hospital and physician services.
For a list of contracted plans, follow the link to Is My Medical Insurance Accepted? In addition, City of Hope is a participating provider in government programs such as Medicare, MediCal and Tricare/Champus.
City of Hope will work with your patient and his or her insurance to verify benefits and coverage before the patient's scheduled visit to City of Hope. The patient can also contact Financial Support Services at 1-626-256-HOPE (4673), ext. 62715.
If you are not currently contracted for hospital/technical services with City of Hope National Medical Center, and you either wish to establish a letter of agreement for your member, or you wish to explore the possibility of a contract or agreement, please contact the Managed Care Department at 1-626-256-HOPE (4673), ext. 86850.
If you are not currently contracted for professional/physician services with City of Hope Medical Foundation, and you either wish to establish a letter of agreement for your member, or you wish to explore the possibility of a contract or agreement, please contact the Managed Care Department at 1-626-256-HOPE (4673), ext. 86850.
City of Hope National Medical Center contracts for hospital/technical services only. City of Hope Medical Foundation contracts for physician services rendered at City of Hope National Medical Center and in our community practice sites.
Understanding health care coverage is a lot easier when you know common industry terms.