Insurance Plans Accepted by East Los Angeles Doctors Hospital
We accept Medicare, Medi-Cal and many major health insurance plans, including the HMO’s, PPO’s and Managed Care plans. If you need additional information concerning health plans, please contact our Business Office at (562) 968-5600.
If You Have Health Insurance
We will need you to bring your health insurance card or proof of coverage with you to the hospital. If you are admitted to the hospital, you will be asked to sign a form assigning all insurance benefits for your stay to East Los Angeles Doctors Hospital. This form allows us to file with your insurance company and collect money on your behalf. After you are discharged, we will send a claim to your insurance company seeking payment. You should receive a statement from the hospital within 45 days of discharge and then every subsequent 30 days until the account is resolved.
If You Are a Member of an HMO or PPO
Your plan may have special requirements, such as a second surgical opinion or pre-certification, for certain tests or procedures. It is your responsibility to make sure the requirements are followed. If not, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your health care plan, and their services may not be covered. If you need assistance in contacting your health plans, please contact our Business Office at (562) 968-5600.
If You Are Covered by Medicare
We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. If you have a Medicare Supplement plan you will also need to bring a copy of your card so that we can verify eligibility and process claim after Medicare as paid, if there is a balance due. Please visit Medicare.gov for more information.
If You Are Covered by Medi-Cal
We will need a copy of your Medi-Cal card for the current month. Medi-Cal also has payment limitations on a number of services and items. Medi-Cal does not pay for the cost of a private room unless medically necessary. For more information on the California Medicaid program, please visit the Medi-Cal site.