Each Care Center has patient access representatives to assist you with any financial concerns before and during your care at MD Anderson.
Customer Service can assist you with questions you have regarding your patient statement. Customer Service is located in the Main Building, Floor 1, across from Cafe Anderson.
Hours:7 a.m.-5 p.m., Monday-Friday
To ensure that your bill is accurate, please provide complete and correct information about yourself, including:
If You Have InsuranceYou will need to determine the extent of your insurance coverage, and whether MD Anderson is part of your managed care plan's network of providers. If not, you can still be treated here, but your eligibility for insurance coverage may decrease, thus increasing your own out-of-pocket costs.
Check MD Anderson's list of Insurance Plans to see if your provider is included.
This list is subject to change without notice. You should always verify with your health plan that MD Anderson Cancer Center and your MD Anderson physician are participating providers. Please note: some health plans identify us as The University of Texas MD Anderson Cancer Center.
You are responsible for obtaining a referral from your Primary Care Provider (PCP), if required. We will verify your benefits with your insurance carrier, and request pre-certifications 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-payment amount. Most managed care plans require that a separate co-pay be collected for each physician office or clinic visit.
MD Anderson will file your insurance for both hospital and physician visits. If you are an inpatient, your claim will be filed following discharge. If you are an outpatient, your claim will be filed about two weeks after your visit. Outpatient surgery claims are filed weekly. Claims for all physician charges are filed separately, as they are entered.
Your monthly patient statement will show all amounts due. If you have a patient balance due on one or more accounts and insurance pending on other accounts, your statement will reflect both patient and insurance pending amounts. Prompt payment of all amounts for which you are personally responsible prevents any possible delay in treatment.
What should I do if my insurance changes?Please immediately inform your patient access representative, your financial counselor or call our Customer Service Line at 713-792-2991 or 1-800-527-2318. This will prevent delay in processing claims with the new carrier and possibly even the denial of your claim. Registered myMDAnderson users may also make changes online by utilizing the patient change form.
What if I don't have insurance?You are responsible for the full cost of your care. Your patient access representative will provide a cost estimate based on your recommended treatment plan. Please be aware that our estimate may vary from the actual cost due to a variety of factors.
As a self-paying patient, you must provide a deposit in advance of services. For more information, please contact your patient access representative.
If your treatment plan changes during the course of your care, you will receive a new estimate.
Do I get a refund if my deposit is greater than the cost of my care?If the amount of your deposit exceeds actual treatment charges, you may be eligible for a refund. To request a refund, please contact Customer Service, who will research your accounts for any open balances. The remaining deposit amount will be applied to those balances, if any. If you have no other financial obligation to MD Anderson, your refund request will be granted. Please allow sufficient time for us to process your refund check.
What are my payment options?If you are a self-pay patient, or if you still have a financial obligation to MD Anderson after your insurance has paid all claims, you are expected to pay the balance due. You will receive a monthly Patient Statement showing all open balances. If you can not pay your balance in full, please speak to Customer Service about payment options.
MD Anderson offers financial assistance programs for qualified Texas resident applicants. Please contact your patient access representative for further information.
How will my payment be applied?Payment in full is applied to hospital/clinic charges and to physician charges as indicated on your statement. If you pay a lesser amount, your payment will be split 60/40 between hospital/clinic and physician charges and will be applied to the oldest open invoice. To ensure timely and accurate payment posting, please include your remittance coupon, which is attached to your statement.
Why do I still have a balance if my insurance pays 100% of reasonable and customary charges?Some insurance carriers base payment on the average charge for all hospitals in a given area. This practice does not take into consideration the specialized nature of care at MD Anderson and may not cover the full cost of your care. You may be responsible for any balance. Discuss your coverage with your insurer before treatment begins.
Further Questions?Call your patient access representative or Customer Service at 713-792-2991 or 1-800-527-2318.