Does City Of Hope Accept Medicare

City Of Hope Study Finds Medicare Advantage May Put Complex Cancer Surgery Patients At A Disadvantage

With open enrollment for Medicare coverage ending on Dec. 7, researchers say its important for patients with cancer to understand how federal health plans cover care and treatment.

LOS ANGELES An analysis by researchers at City of Hope, one of the largest cancer research and treatment organizations in the United States, found that cancer patients with privatized, cost-saving Medicare Advantage were more likely than those with traditional Medicare to go to hospitals with physicians less experienced at performing complicated surgeries, and that they were more likely to die within the first 30 days after the removal of their stomach, pancreas or liver. The study Medicare Advantage: A Disadvantage for Complex Cancer Surgery Patients was recently published in the Journal of Clinical Oncology.

The finding is important because nearly half of all Medicare beneficiaries an estimated 29 million Americans are enrolled in Medicare Advantage plans. And of the 6.6 million Medicare-eligible Californians, nearly half are enrolled in Medicare Advantage plans.

With traditional Medicare, beneficiaries typically may go to any doctor or hospital in the U.S. that takes Medicare, whereas in most cases, Medicare Advantage beneficiaries can see only doctors and providers who are in the plans network and service area.

The study data can inform policymakers and insurers who want to extend the lifespan of cancer patients, Raoof said.

# # #

How Do I Update My Npi Information

The NPI record of CITY OF HOPE was last updated on March 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System at 1-800-465-3203 or by email at NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at:

Determining Your Total Cost

Below is a link to the pricing and estimate tools for services provided by City of Hope. This data contains the services provided by City of Hope as of Jan. 1, 2021. These costs are uniform for all patients served by the hospital. City of Hopes drug pricing reflects the individualized doses that take into consideration a patients age, height, weight, current clinical condition, co-morbidities, symptom management, and response to therapy. Medication pricing may vary based on these factors.

These costs rarely reflect the expected out-of-pocket expense for a specific hospital service. Your own out-of-pocket expenses will depend on one or more of the following:

• The actual patient care services that you receive, treatment decisions, unforeseen complications, additional tests, or other services ordered by your physician, and the individual needs of each patient.
• The terms of your insurance coverage, which may include deductibles, co-insurance, co-payments, policy exclusions, maximum benefits, pending financial assistance or pending state/federal program or other aid.
• The actual cost of third-party supplies, items, or services that you receive.
• Your eligibility for financial assistance.

Read Also: When Did Medicare Advantage Start

Before You Schedule Care: Reminders About Health Insurance At Ucla Health

Before scheduling your care at UCLA Health, keep in mind that:

• You may need to double-check your coverage. The list of health care plans below may not be comprehensive and could change. Check your coverage by contacting either:
• Your benefits coordinator at work
• Your health insurance company

Learn more about how health insurance works, including potential out-of-pocket costs and the differences among various types of health plans.

Watch our video on health insurance and patient billing.

How Much Can I Expect To Pay

Medicare parts A and B will cover medically necessary tests at no cost to you. However, both your doctor and the facility you use will need to be Medicare participants that accept Medicare payments for services.

You can find participating doctors in your area on the Medicare website. Check that both the doctor and lab accept Medicare before you get any testing done, so you dont end up paying any surprise costs.

Also Check: Does Medicare Part A Cover Doctors In Hospital

Medicare Plan Comparison Resource

Need help comparing Medicare plans accepted by HMG? MedicareCompareUSA is an independent insurance agency that provides no-cost Medicare plan comparisons and enrollment support. Local MedicareCompareUSA agents can help you right over the phone! Medicare Advantage, Medicare Supplement, and Medicare Prescription plans are represented.

Call toll-free or visit medicarecompareusa.com today

MedicareCompareUSA is an independent insurance agency not affiliated with the federal Medicare program. All services are provided at no cost and without obligation MedicareCompareUSA and affiliated agents are paid directly by the Medicare plan when enrollment occurs. Healthcare providers receive no financial benefit when patients use the service. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact www.medicare.gov or to get information on all of your options.

How We Can Help

City of Hope is committed to providing patients and their caregivers with the information and support they need to make the best-informed decisions about their cancer journey. We understand that treating cancer can be costly often due to expenses related to time away from work and care for dependents. Our social services, payment programs and financial counselors are intended to help make these cancer-related costs more manageable and help lessen their impact.

We also know health care costs, billing and insurance can be confusing. We strive to address patient questions with clarity and compassion and are committed to helping you understand all financial aspects of your care. Our financial counselors are available to discuss any questions or concerns you may have. We provide each patient and caregiver with the support and guidance necessary to meet their unique needs.

Recommended Reading: How Much Are Premiums For Medicare

City Of Hope To Broaden Research And Care Nationally With Close Of Cancer Treatment Centers Deal

City Of Hope is looking to expand its research, innovation and specialized cancer care to more … patients nationally now that its $390 million purchase of Cancer Treatment Centers of America acquisition closed effective Feb. 2, 2022, the health systems chief executive says. In this photo is City of Hope Helford Clinical Research Hospital.

City of Hope photo

City Of Hope is looking to expand its research, innovation and specialized cancer care to more patients nationally now that its $390 million purchase of Cancer Treatment Centers of America acquisition has closed, the health systems chief executive says.

The deal, which closed Wednesday, combines two big providers of cancer treatment that will now bring City of Hopes expertise as a National Cancer Institute-designated comprehensive cancer center in southern California to Cancer Treatment Centers markets across the country. CTCA has hospitals in the Chicago, Phoenix and Atlanta markets, but draws patients to these inpatient facilities and its outpatient centers from across the country.

Given Cancer Treatment Centers brand and markets, City of Hope said it sees an opportunity to now reach more patients and create a new model for how cancer care is delivered.

The broader reach of the larger City of Hope organization will also help with research from a bigger pool of patients and their treatment challenges, executives said.

Mental Healthcare Matters Dont Try Convincing Us Otherwise

More and more, people are coming around to the idea that mental health matters. And its about time. At Hope Network, weve been providing mental health services for decades. By using evidence-based therapies, intervention techniques, monitoring progress, and coordinating care with other key service providers, we serve people in ways that most healthcare professionals cant.

Don’t Miss: Does Medicare Cover Cost Of Wheelchair

Patient Financial Assistance Programs

Patient Benefits CounselorsHopeHealths Patient Benefits Counselors are available to help with enrollment in the Affordable Care Act. They help with new patient enrollment in HopeHealth, and help patients navigate through HopeHealths financial programs. When patients arrive to see a Patient Benefits Counselor, they should expect to provide paycheck stubs or any other form of income verification to help determine which financial program they qualify for. Tax returns and other information may also be required as proof of income or household size.

ACA Enrollment: You can apply for health insurance benefits through the Health Insurance Marketplace. If you want to complete a quick check to see if you may be eligible, visit SC Thrive. For more information about coverage through the Affordable Care Act, .

Health Insurance Purchased By Individuals Families And Small Businesses

We also accept select plans purchased on your own. You can purchase these plans through an agent or directly from an insurance company. You can also purchase them at Covered California, the states official health insurance marketplace, or exchange .

If you use the exchange, Blue Shield offers several plans that may cover care at UCLA Health. Call Blue Shield at for more information.

Read Also: How To Calculate Modified Adjusted Gross Income For Medicare Premiums

What Plans Do We Accept

We work with a variety of insurance policies, including commercial insurance plans such as employer-sponsored group plans, individual policies and private insurance purchased through the health insurance marketplaces established by the Affordable Care Act. Most Cancer Treatment Centers of America® facilities also work with Medicare and Medicare Part C and, in some cases, Medicaid. Additionally, we accept some U.S. Department of Veterans Affairs and TRICARE plans.

Because of the complexity involved in how insurance plans are designed, the best way to understand your coverage at a CTCA® hospital or Outpatient Care Center is to contact one of our Oncology Information Specialists.

Listed Below Are The 11 Pch Providers Specific Providers Were Excluded Under Various Regulations And Statutes As Indicated In The Table Below:

Read Also: Why Do I Pay Into Medicare

Other Providers At The Same Location

The following 20 providers are registered at the same or nearby location.

What Is Hope Village City

Hope Village, located on City of Hopes Duarte campus, will open to provide accommodations for patients whose treatment plans require them to stay close to the Duarte campus and other eligible City of Hope guests, beginning April 24, 2022. Eligibility to stay in the Hotel will be determined by clinical care teams.

Also Check: How Do I Get A Second Opinion With Medicare

City Of Hope National Medical Center

City of Hope is a private, not-for-profit clinical research center, hospital and graduate school located in Duarte, California, United States. The center’s main campus resides on 110 acres of land adjacent to the boundaries of Duarte and Irwindale, with a network of clinical practice locations throughout Southern California, satellite offices in Monrovia and Irwindale, and regional fundraising offices throughout the United States.

City of Hope is best known as a cancer treatment center. It has been designated a Comprehensive Cancer Center by the National Cancer Institute. City of Hope has also been ranked one of the nation’s Best Cancer Hospitals by U.S. News & World Report for over ten years and is a founding member of the National Comprehensive Cancer Network.

City of Hope played a role in the development of synthetic human insulin in 1978. The center has performed 13,000 hematopoietic stem cell transplants as of 2016 with patient outcomes that consistently exceed national averages.

Does City Of Hope Accept Covered California

City of Hope contracts with most major Health Maintenance Organizations and Preferred Provider Organizations for hospital services. Additionally, City of Hope is a participating provider in government programs such as Medicare, MediCal, Tricare/Champus and Covered California.

Read Also: Does Medicare Cover 24 Hour Home Care

How Does The Insurance Verification Process Work

If you are interested in learning more about becoming a patient at CTCA, contact us to begin the insurance verification process. After we obtain your insurance policy information, we will conduct a preliminary check to determine how your insurance plan benefits might work and, if possible, schedule an appointmentall during the same phone call. If we need to investigate further, we will get back to you within 24 hours. Once your benefits have been confirmed, an Oncology Information Specialist will review the details of your insurance plans coverage and answer questions you may have.

Does City Of Hope Accept Medicare Patients

City of Hope contracts with most major Health Maintenance Organizations and Preferred Provider Organizations for hospital services. In addition, City of Hope is a participating provider in government programs such as Medicare, Medi-Cal and Tricare/Champus.

Don’t Miss: How Does Tricare For Life Work With Medicare

Beckman Research Institute Of City Of Hope

Beckman Research Institute of City of Hope is one of six research facilities established by funding from the Arnold and Mabel Beckman Foundation. Its primary focus is research in the areas of cancer, diabetes, and HIV/AIDS. The institute shelters the City of Hope Irell & Manella Graduate School of Biological Sciences.

Research conducted at the institute has contributed to discoveries in the areas of recombinant DNA technology, gene therapy and monoclonal antibodies.

About Our Pricing Information

The health and well-being of our patients guide every decision we make at City of Hope. We are making our pricing information available to patients because we believe in creating transparency and providing our patients with access to crucial information as they make important decisions about their care.

We believe that the value of care is measured not only in terms of cost, but also in terms of patient experience and outcomes that innovative treatments produce to extend survival and improve patients quality of life. The information on this website, while important as an effort to provide transparency, is just one factor that patients and caregivers consider when making decisions.

This information is intended to provide an overview of certain aspects of pricing at City of Hope and the prices listed are not specific to each patient, Moreover, the foregoing pricing information does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist or other physician specialists or providers who may be involved in providing services to a patient. These charges are professional services. Professional services are not listed and are billed separately. Importantly, while we can provide out-of-pocket and deductible information via our shoppable services functionality, your overall costs may differ depending on the course of your specific treatment.

Don’t Miss: Is Ibrance Covered By Medicare

Make Sure Your Plan Provides Access To City Of Hope

To ensure that you can receive coverage for best-in-class care at City of Hope, these are the Covered California plans that cover treatment and services at our main Duarte campus, as well as at our clinical network locations throughout Southern California:

• Blue Shield of California EPO/PPO for Individuals and Families – all levels.
• OSCAR Health Plan of California EPO for Individuals and Families – all levels, is in-network for physician services rendered at our clinical network locations.
• OSCAR Health Plan of California – City of Hope Medical Center in Duarte is out-of-network.

To learn more about these plans, please visit the Covered California website.