Carolina and Optimum Hospitals cooperates with several international insurance companies on direct billing bases. This means patients holding insurance in these companies are admitted cashless, and invoices are sent directly to the insurer and covered by him to the extent specified in the insurance contract signed with a patient.
A prerequisite to be met in this case is sending a payment guarantee by a given insurance company before the service is performed.
Visit to the clinic – step by step
- Arranging consultation:
In order to arrange a medical appointment please call number: +48 22 355 82 00. Please inform the telephonist of any insurance cover. In case of emergency, you should visit our ER open 24/7 and show our receptionist your proof of insurance before registering.
- Consultation:
Before going to the doctor’s office you must register at the reception. You will be asked to fill in personal questionnaire, giving your data and contact information, with particular emphasis on e-mail which will significantly facilitate contact with you. You will also receive documents to be signed: Medical Release Form and Declaration. Signing these documents is a necessary condition to initiate the non-cash settlements. If you fail to sign them, you will be required to cover the costs of treatment yourself.After meeting the formal requirements you will be invited to the doctor’s office, and invoices will be sent by us directly to the insurance company.
- Diagnostic tests
During the consultation the doctor may decide that you should undergo diagnostic tests. He will then issue an appropriate referral and ask you to go to the Center for Diagnostic Imaging on the ground floor. Patient Coordinator will propose testing at a convenient time, without charging you. Invoices will be sent by us directly to the insurance company.
- Surgical treatment – planned:
Attention! Insurance companies cover the costs of surgical treatment based on the guarantee of payment issued for a particular procedure.During the consultation the doctor will discuss with you methods of treatment and possible risks associated with treatment. If you decide to undergo a surgery, the doctor will issue the appropriate referral. In order to arrange admission to hospital, to find out about the rules of stay and to determine the date of the admission, you will be asked to go to the Coordinator of Hospital Care who will also inform you what laboratory and further diagnostic tests are required before surgery and when you would have a consultation with an internist and anaesthesiologist. Based on a referral, Financial Analyst will prepare a cost estimate, which will be sent to the insurer requesting guarantee of payment. Upon receipt of the guarantee deadlines will be confirmed with you. Invoices will be sent by us directly to the insurance company.
- Surgical treatment – CITO:
In case the surgery should be performed immediately (accident, sudden trauma), patient holding insurance will be admitted without paying, provided that he holds a proof of insurance and signs Payment Obligation. This document guarantees that you would cover the cost of treatment only if the insurance company refuses payment. The invoice for the surgery will be sent to the insurance company in the first place.