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Out of Network Disclosure

Important Information about Paying for Your Care at UPMC Chautauqua WCA

UPMC Chautauqua WCA is a participating provider in many health plan networks. You can find a list of the plans which we participate with in our Customer Service office or on our website at http://www.wcahospital.org/healthinsuranceplans.php. Some health plans use smaller networks for certain products they offer so it is important to check whether we participate in the specific plan you are covered by. Our list only contains health insurance plans that we participate in.

It is also important for you to know that the physician services you receive in the hospital are not included in the hospital’s charges. Physicians who provide services at the hospital may be employed by the hospital or independent voluntary physicians. A list of employed or contracted physicians can be found in our Customer Service office or on our website at http://www.wcahospital.org/employedcontractedphysicians.php.

Independent voluntary physicians bill for their services separately and may or may not participate in the same health plans as the hospital. You should check with the physician arranging your hospital services to determine which plans that physician participates in. A Physician Directory is available in our Customer Service office or on our website at http://www.wcahospital.org/staff.php

UPMC Chautauqua WCA also contracts with a number of physician groups, such as emergency department physicians, anesthesiologists, radiologists and pathologists, to provide services at the hospital. These health care professionals bill independently from UPMC Chautauqua WCA. A listing of these health professionals can be found in our Customer Service office or on our website at http://www.wcahospital.org/independenthealthcareprofessionals.php. You should contact these groups directly to find out which health plans they participate in.

You should also check with the physician arranging for your hospital services to determine whether the services of any other physicians will be required for your care. Your physician can provide you with the name, practice name, mailing address and telephone number of any physicians whose services may be needed. Your physician will also be able to tell you whether the services of any physicians employed or contracted by UPMC Chautauqua WCA are likely to be needed, such as anesthesiologists, radiologists and pathologists. Contact information for these physicians is available in our Customer Service office or on our website at http://www.wcahospital.org/staff.php You should contact these physicians directly to find out which health plans they participate in.

Hospitals are required by law to make available information about their standard charges for the items and services they provide. This information is available in our Customer Service office or on our website http://www.wcahospital.org/commoncharges.php.

If you do not have health insurance, you may be eligible for assistance in paying your hospital bills. Information about financial assistance is available in our Customer Service office or on our website at http://www.wcahospital.org/charitycare.php or you may contact our Financial Assistance Office at (716) 664-8360.