Do you have questions about your hospital bill? We can help.
You'll find answers to some common questions below. If you have other concerns about billing and/or payments, please don't hesitate to give us a call at (808) 522-4013. Our Customer Service representatives are available Monday-Friday, 9:00 am – 4:30 pm or contact us with your questions.
Estimating your out-of-pocket costs:
Q: When is payment of my bill expected?
A: With the exception of co-payment amounts, the medical center expects full payment within 30 days of the billing date shown on your statement.
Q: What options do I have to pay my bill (check, cash, credit card)?
A: Kapiolani accepts payments made by cash, check, money order, or credit card. We accept Visa, MasterCard, American Express, Discover and JCB. Payments can be made in the following ways:
- By Mail: Use the return envelope that came with your billing statement to make a payment by check, money order or credit card
- In Person Stop by our Cashiers Office to make a payment in person. The Cashiers Office is located on the ground floor of the hospital in the main lobby.
- By Phone: Credit card payments can be made by calling Customer Service at (808) 522-4013.
Q: If I am unable to make payment in full what options do I have to pay my bill?
A: Patients who find it difficult to pay their bill in full within 30 days should contact a customer service representative at (808) 522-4013. Kapiolani has several payment options available, including Financial Assistance.
Q: What if I find I can't afford to pay the bill I receive, are there any options?
A: Financial assistance is available for those individuals who are uninsured or underinsured or who are experiencing financial hardship. Eligible patients would be those who have limited financial resources to pay for an individual insurance policy and who do not qualify for Hawaii Medicaid. Your inability to pay for care should not prevent you from receiving medically necessary services.
To learn more about our Patient Financial Assistance Program, please contact our Customer Service Department at (808) 522-4013 on Oahu, (866) 266-3935 Neighbor Islands or stop by and meet with our Financial Counselors in the Financial Services Dept., located on the 1st floor of the Main Lobby. Business hours: Monday-Friday 8:00 a.m.-4:00 p.m.
Q: Why did I receive a bill from both the doctor and the hospital for the same visit?
A: Your visit to Kapiolani may result in billing from various service providers. In addition to the hospital bill you may receive separate billings from professional providers who assisted with your care. These professionals may include, but are not limited to your:
- Attending physician
- Ambulance company
- Emergency medical technician
Q: Why am I being billed when I have insurance?
A: Many insurance companies have amounts which the patient must pay. The amount may be for a co-insurance payment, deductible or an out of pocket expense (an expense not covered by your insurance provider).
If you have questions about why your insurance did not pay a portion of your claim, you should contact your insurance company directly. You may also receive a bill if your insurance company does not process our claims by their due date or if they deny coverage of your service.
If you receive a statement that does not show insurance processing, you should contact your insurance company to determine the reason for delay / denial.
Q: When do I make the co-payment and or deductible payment my insurance requires? Can I wait to be billed by Kapiolani after my insurance processes the claim?
A: Co-payments are due at the time of service. If you are unsure of your co-payment responsibility please contact your insurance plan. If you are an inpatient, our financial counselors will obtain the deductible information at the time they check your eligibility. Kapiolani expects co-payment amounts to be paid at the time of service. Please be prepared to pay your co-payment when you check in.
Q: If my insurance company has pre-certification, prior approval or notification requirements for specific services, am I responsible for completing this task?
A: The specific requirements and responsibility for completing pre-certification or notification depend on several things:
- Contract agreements between Kapiolani and your insurance company, or
- The requirements as defined by your insurance or employer group plan
In many cases, Kapiolani can assist with these requirements if we have a contract with your company.
However, if you have questions about your responsibility for completing these requirements, you should contact your insurance company directly. You may have to pay a higher deductible or coinsurance amount if these steps are not completed.
Q: How is a charge set for my services?
A: The charge for services included on your bill is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.
Charges are usually revised on an annual basis. These changes are made at the beginning of our fiscal year, which is July 1st. However, as technology and resource needs change, we may have to update our charges at other times during the fiscal year.
The 2019 Hospital Standard Charges may be alternatively referred to as the "charge master", "hospital chargemaster", or the "charge description master" (CDM). It is a comprehensive listing of items billable to a hospital patient or a patient's health insurance provider. Chargemasters include thousands of hospital services, medical procedures, equipment fees, drugs, supplies, and diagnostic evaluations such as imaging and blood tests. Each item in the chargemaster is assigned a unique identifier code and a set price that are used to generate patient bills. Diagnoses Related Groups (DRG) is a classification system to organize the charges based on the type of illness or injury and include all charges from admission to discharge.
Q: How much of the total charges do I have to pay?
A: Regardless of a hospital's charges, the government determines how much the hospital is paid for a service for those enrolled in a federal and/or state program like Medicare or Medicaid, and local negotiations determine how much a hospital is paid by those enrolled in commercial health plans, such as HMSA, HMAA, UHA, and Summerlin.
For uninsured patients who do not qualify for financial assistance, Kapiolani offers a discount off of its charges so uninsured patient can take advantage of similar discounts those the hospital offers to health plans. The charge for services provided is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.
The best way for patients to determine their out-of-pocket costs in advance of obtaining services is to contact their insurer, whether that is a commercial health insurance company, Medicare or a state Medicaid program.
Q: What is an Explanation of Benefits (EOB) or Explanation of Payment (EOP)?
A: These are documents showing a detailed listing of how your insurance company processed your claim or bill. An EOB or EOP is mailed by your insurance company directly to you.
Payment Policy for Uninsured Patients
For those without medical insurance, the cost of hospitalization or having a diagnostic test can be a financial challenge. We believe that patients should seek care when medically necessary without fear of related costs. To assist patients without medical insurance, we offer a discount in the following cases:
- The total charges for hospital services will be reduced by 40% when payment is received at the time of service or within 30 days of the receipt of your first bill.
- The total charges for hospital services will be reduced by 30% when payment is received within 90 days of the receipt of your first bill.
If payment of your bill is a financial hardship, please call Patient Accounts Customer Service at (808) 522-4013 to find out about Patient Financial Assistance Program.