We appreciate you choosing The University of Texas MD Anderson Cancer Center for your health care needs. We realize that this is a difficult time for you and your family, and that finances may be an additional concern. We are committed to supporting you by providing the following information to understand our charges, billing and payment process.
The best action you can take as a patient to ensure that your billing is accurate and complete is to make sure that we have correct information about you. Please contact us with changes to:
- Telephone numbers
- Insurance plans
- Changes in employment status that result in changes to your insurance
Type of Charges
MD Anderson's patient statements contain two separate billing components.
- Hospital charges are for the use of hospital facilities and the outpatient clinic services provided by the nurses and other members of your care team who are not physicians.
- Physician charges represent the specialized services that your physicians and mid-level providers, such as Certified Registered Nurse Anesthetists, Physician’s Assistants, Advanced Practice Nurses, will provide.
If You Are Covered by Insurance
You will want to determine the extent of your insurance coverage, and if you are in a managed care plan, and whether MD Anderson is "in network." If not, you may still be treated here, but your eligibility for insurance coverage may decrease and your personal financial responsibility may increase.
We will verify your insurance benefits with your insurance plan. We also will obtain pre-certifications, referrals or authorizations if necessary. When you arrive for treatment, if you are in a managed care plan, you will be asked to pay your co-pay and unmet portion of your deductible, as applicable.
MD Anderson will file your insurance for you for both hospital and physician visits. If you are an inpatient, your hospital insurance claim will be filed following discharge.
Your monthly patient statement will reflect both patient and insurance pending amounts. You are responsible for the patient balances.
If You Are Not Covered by Insurance
If you are paying for your own care, you will be asked to pay an initial deposit to be evaluated at MD Anderson. This deposit is determined by the care center based on the type of cancer for which you are being seen. This deposit represents the average charge for evaluation by your physician, as well as the diagnostic tests that are normally performed in order to make a diagnosis and develop a treatment plan. The deposit is an estimate only. Actual charges may be higher or lower based on your specific needs.
MD Anderson deposit amounts include charges for both hospital and physician services. Other hospitals may provide only hospital charges, so if you are comparing charges at other institutions, you will want to ask for physician charges as well. Our intent is to make sure you are aware of what the total estimated cost of your evaluation may be in advance.
Patients sponsored by embassies or corporations must have a valid letter of guarantee prior to receiving services. Your embassy will be billed directly.
Once you receive your initial evaluation by an MD Anderson physician and agree on a treatment plan, Patient Access Services will provide you with a charge estimate for continued treatment. This Charge Estimate is based on the plan of care that your physician recommends for you. Your actual charges may be more or less than the estimated amount. You may request a charge estimate for services prior or during your visit. If you are participating in a clinical trial, the trial sponsor may cover some of the charges. You will be responsible for the charges not covered. We realize that the cost for cancer services may be a concern for your family, so we are available to help answer your financial questions.
If you are paying for your own care, your charges may be eligible for a discount. In order for a discount to be considered, your charge estimates must be paid in advance and any billed amounts must be paid timely. Accounts that are in collections are not eligible for a discount. Your Patient Access Specialist is available to review your account and advise you about any potential discounts.
You will receive a monthly patient statement showing all hospital and physician charges approximately four to six weeks after your appointment.
If your total charges are more than the estimate you paid, your patient statement will show a balance due. If your actual charges are less than the amount you paid, you can request a refund.
If you are a self-pay patient or if you have a financial obligation to MD Anderson after your insurance has fulfilled its financial responsibility, you will be expected to pay the balance due. You will receive a monthly Patient Statement showing all open balances.
Payment in full is applied to hospital charges and to physician charges as indicated on your statement. If you pay less than the full balance, your payment will be applied to the oldest service dates and split between hospital and physician charges. To ensure timely and accurate payment posting, please include the remittance coupon attached to your statement.
MD Anderson accepts cash, check (if the bank has a branch in the United States), wire transfer or credit card as forms of payment. MD Anderson accepts the following credit cards: Visa, MasterCard, American Express and Discover. Credit card payments may be made online through myMDAnderson or by calling Customer Service at 713-792-2991. Payments may also be made either at your clinic visit or at one of the cashier locations.
If you cannot pay your patient balance in full, it may be possible to arrange a Payment Plan. The length and monthly payment amount of Payment Plans are based on the amount due. Your Patient Access representative can provide information about the monthly Payment Plans which are available.
If the cost of your care is beyond your financial means and you are a Texas resident, you may request an Application for Patient Financial Assistance from your Patient Access representative. Eligibility for Patient Financial Assistance is based on the Federal Poverty Index.
If your actual charges are less than the amount you paid in advance, and you don’t anticipate receiving further treatment at MD Anderson, you may request a refund. Refunds take approximately two weeks to process. If you paid by credit card, a refund will be made to your credit card account. Otherwise, your refund will be by check or wire transfer.
Refunds for deposits made due to pending insurance authorizations will not be processed until after the insurance pays on your claims.
If you have questions about any phase of the billing process or about your patient statement, please call us at 713-792-2991 or 1-800-527-2318.