Health insurance coverage is a major concern for cancer patients and their families.
You may be wondering if medical care at Memorial Sloan-Kettering Cancer Center will be covered by your insurance policy. The following information has been developed to help patients understand insurance coverage at Memorial Sloan-Kettering and to make the process of becoming a patient here as easy as possible.
Click on any highlighted words to link to our glossary of terms.
Understanding the Details of Your Insurance Policy
The amount of coverage your plan will provide for care at Memorial Sloan-Kettering will vary depending on:
your insurance company
the amount of coverage you or your employer has purchased as part of your healthcare benefits package
your specific policy
To begin, you should contact the Customer Service or Member Services Department at your insurance company (the phone numbers are on your insurance card or in your benefits book). They should be able to tell you about your in-network and out-of-network coverage for care at Memorial Sloan-Kettering, as well as what your financial responsibility will be. A list of questions found at the end of this section can help guide your discussion with your insurance company.
Many insurance companies limit payments to medical providers using their own fee schedule of usual, customary, and reasonable (UCR) allowances. The fees you incur for medical services at Memorial Sloan-Kettering may differ from those allowed by your insurance plan. You will be responsible for the payment of any fees not covered by your plan, including any balances resulting from UCR fee limitations.
Memorial Sloan-Kettering's financial counselors are committed to working with you, your physician, and your insurance company to help you access our services. These counselors are available to help verify your coverage and to explain any billing procedures or questions you may have.
Questions?
Patients with insurance questions should contact Memorial Sloan-Kettering's Insurance Information line at 646-497-9176, Monday through Friday, 9 AM to 5 PM (EST).
Plans That Provide Access to Our Care
Memorial Sloan-Kettering has contractual relationships with the insurance companies listed in this section.
Other Coverage Options
Information about other coverage options, including supplemental insurance programs and Medicare.
Usual, Customary & Reasonable Fees
Information on what insurance pays and what you pay if you have out-of-network benefits.
Questions to Ask Your Insurance Company
Use the following questions as a guide when you talk to your insurance company about your coverage options.
How We Help
After an initial consultation with a Memorial Sloan-Kettering physician, our case managers may be able to help with insurance and financial issues.
Steps to Take if Denied Coverage
Steps to take if your insurance company initially does not authorize coverage for your medical care.
Glossary of Terms
For your convenience, we've included a glossary of health insurance terms that have been used in this booklet and/or may be used in discussions you may have with your plan's customer service representatives.
You may be wondering if medical care at Memorial Sloan-Kettering Cancer Center will be covered by your insurance policy. The following information has been developed to help patients understand insurance coverage at Memorial Sloan-Kettering and to make the process of becoming a patient here as easy as possible.
Click on any highlighted words to link to our glossary of terms.
Understanding the Details of Your Insurance Policy
The amount of coverage your plan will provide for care at Memorial Sloan-Kettering will vary depending on:
your insurance company
the amount of coverage you or your employer has purchased as part of your healthcare benefits package
your specific policy
To begin, you should contact the Customer Service or Member Services Department at your insurance company (the phone numbers are on your insurance card or in your benefits book). They should be able to tell you about your in-network and out-of-network coverage for care at Memorial Sloan-Kettering, as well as what your financial responsibility will be. A list of questions found at the end of this section can help guide your discussion with your insurance company.
Many insurance companies limit payments to medical providers using their own fee schedule of usual, customary, and reasonable (UCR) allowances. The fees you incur for medical services at Memorial Sloan-Kettering may differ from those allowed by your insurance plan. You will be responsible for the payment of any fees not covered by your plan, including any balances resulting from UCR fee limitations.
Memorial Sloan-Kettering's financial counselors are committed to working with you, your physician, and your insurance company to help you access our services. These counselors are available to help verify your coverage and to explain any billing procedures or questions you may have.
Questions?
Patients with insurance questions should contact Memorial Sloan-Kettering's Insurance Information line at 646-497-9176, Monday through Friday, 9 AM to 5 PM (EST).
Plans That Provide Access to Our Care
Memorial Sloan-Kettering has contractual relationships with the insurance companies listed in this section.
Other Coverage Options
Information about other coverage options, including supplemental insurance programs and Medicare.
Usual, Customary & Reasonable Fees
Information on what insurance pays and what you pay if you have out-of-network benefits.
Questions to Ask Your Insurance Company
Use the following questions as a guide when you talk to your insurance company about your coverage options.
How We Help
After an initial consultation with a Memorial Sloan-Kettering physician, our case managers may be able to help with insurance and financial issues.
Steps to Take if Denied Coverage
Steps to take if your insurance company initially does not authorize coverage for your medical care.
Glossary of Terms
For your convenience, we've included a glossary of health insurance terms that have been used in this booklet and/or may be used in discussions you may have with your plan's customer service representatives.
Translations
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Glossary
Access our Glossary, a list of commonly used health insurance terms
go to glossary
Financial Assistance
Learn how our financial counselors & assistance program may be of help
more
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