St. John’s Riverside Hospital is required by law to make available information about our standard charges for the items and services they provide. If you have any questions about your financial responsibility, please call (914) 964-4664.
St. John’s Riverside Hospital is a participating provider in many health insurance plan networks.
Please click here for a list of insurance plans accepted by the hospital.
WHAT IF I HAVE A PROBLEM I CANNOT RESOLVE WITH THE HOSPITAL?
You may call the New York State Department of Health complaint hotline at 1-800-804-5447.
For confidential assistance, contact our Financial Counselor at (914) 964-7799 or visit us at:
2 Park Avenue 4th floor, Yonkers, New York 10703. If you do not have health insurance, you may be eligible for assistance in paying your hospital bills.
Click here for information about financial assistance and Health Solution, the hospitals’ discounted fee-for-service program. En Español
Fees for Physicians
It is important to understand that fees for physician services you receive in the hospital are not included in the hospital bill. Some physicians providing services at the hospital are independent voluntary physicians and some are employed by the hospital. Physicians issue bills for their services separately and may, or may not, participate in the same health plans as the hospital. Please check with the physician arranging your hospital services to determine the plans with which your physician participates.
ST. JOHN’S MEDICAL GROUP
Physicians employed by St. John’s Riverside Hospital are part of the St. John’s Medical Group. Click our medical group logo below to view the complete list.
We know that paying for healthcare is a big concern for many and we are committed to providing you with as much information as possible so you can make informed decisions about your care, knowing in advance, what to expect in terms of cost. Your out-of-pocket costs may depend on several factors including your insurance provider, your specific health benefits policy, expenses such as your deductible, co-insurance, co-payment and the limit of out-of-pocket expense requirements, as well as the services or procedures you receive which may or may not be covered.
Our staff can assist you with determining your out-of-pocket expenses. Please call 914-964-4546.
We wanted to let you know that a new rule requires hospitals to maintain and make available a list of their standard charges for items and services provided. These standard charges do not reflect or represent how much you will have to pay, nor do they reflect the actual payment a hospital will receive for those items and services. We offer an interactive online treatment cost-estimation tool which can help determine your expense. We recommend that you contact one of our managers who can assist you further by providing a comprehensive estimate based on your insurance and benefits information and/or your personal financial situation . For assistance, please contact 964-4545.
What are these standard charges and how do they impact you?
Charges are the dollar amount a provider sets for services provided before negotiating any discounts. The charge is different from the amount paid. Patients covered by Medicare, Medicaid, Commercial insurance plans, and uninsured patients who qualify for financial assistance never pay full charges. For patients who do not qualify for financial assistance, but are uninsured, we also offer steeply discounted prices. Click here for more information regarding our Health Solution fee discount program. (Español)
For more detailed information regarding charges or your estimated out-of-pocket expense for any procedure, we recommend that you contact one of our staff members at 914-964-4664 who can assist you further by providing a comprehensive estimate based on your insurance and benefits information and/or your personal financial situation.
For services provided at St. John’s Riverside Hospital, you will receive separate bills for professional charges from providers such as anesthesiologists, pathologists, oncologists or other specialists who have contributed to your care. You will also receive a separate bill for hospital charges. These charges include the cost of providing all other aspects of your care which are billed separately from professional services such as hospital stay, support staff, supplies, and medications. In addition, if your care was provided by a doctor who is affiliated with St. John’s Riverside Hospital, but also has a private practice, you may also receive separate bills from this doctor as is typical billing practice.
To see a list of insurance plans participating with St. John’s Riverside Hospital is provided for you click on the “Healthcare Plans” Tab above. Please note that some providers who may be involved in your care may not participate in the same insurance plans covering care at St. John’s Riverside Hospital. Therefore, we recommend you check with the physician arranging for hospital services to determine if the physician participates in a plan that covers your care. A list of physicians who provide services at St. John’s Riverside Hospital facilities is available for you here.
At St. John’s Riverside Hospital we are committed to helping people understand the best options available to pay for their medical care. Our staff can help you understand what is covered by your specific health insurance benefits policy, expenses such as deductibles, co-insurance, co-payment and out-of-pocket expense limits. In addition, if you do not have insurance, we can assist you with determining your eligibility for free or low-cost insurance, as well as governmental assistance. Our financial services staff can also help assess if you may qualify for financial assistance. You can learn more here. (Español)
St. John’s Riverside Hospital recognizes that there are times when patients in need of care will have difficulty paying for the services provided. Health Solution provides discounts to qualifying individuals based on your household income and family size. In addition, we may help you apply for free or low-cost insurance if you qualify. Just contact our Financial Counselor (914) 964-7799 or go to 2 Park Avenue 4th floor, Yonkers, New York for confidential assistance.
Who Qualifies for a Discount?
Financial Assistance is available for patients with limited incomes who are uninsured or underinsured.
Anyone who lives in the following counties: Westchester, Orange, Putnam, Rockland, Bronx, Manhattan (New York), Brooklyn (Kings) and Queens, may receive a discount on their medical bill from St. John’s Riverside Hospital, if they meet the income guidelines listed below.
You may apply for a discount regardless of immigration status.
You cannot be denied emergency or medically necessary care because you need financial assistance.
|St. John’s Riverside Hospital Managed Care Contracts|
|Plan Name||Product Name|
|Aetna||HMO, POS, PPO, Indemnity, Medicare|
|Affinity||Medicaid, Market Place Exchange*, Essential Plans (No Enriched Health Plan)|
|Archcare Advantage||Medicare Product ONLY|
|Beacon Health Strategies||Behavioral Health Medicaid, Medicare, HARP, Essential Plans|
|Centers Plan For Healthy Living||Medicare Advantage, Medicare Advantage Dual, Medicaid Advantage|
|Empire BCBS||HMO*, PPO, Indemnity, Medicare, Medicaid, CHP, Market Place Exchange (Pathways)*|
|Fidelis||Medicaid, Market Place Exchange, Medicare Advantage, Essential Plans|
|GHI/Emblem||HMO,PPO, EPO, CBP, Network Access|
|HealthFirst||Medicaid, Medicaid-Health and Recovery Plan (HARP), Essential Plan f/k/a Basic Health Plan (BHP), Child Health Plus (CHP), Qualified Health Plans (QHP), Medicare Advantage, Medicaid Advantage Plus|
|HIP/Emblem||HMO, PPO, Medicaid, Medicare Advantage PPO, POS, EPO, Essential Plans|
|Medicare||Medicare A & B|
|Metroplus Health Plan||Medicare Advantage, Dual, Gold, Medicaid, Child Health Plus, Essential, Exchange|
|MVP||Medicaid, HARP, Medicare, Essential Plans, HMO*|
|Oxford||Self-Insured, Commercial, Medicare|
|Tricare Health Federal Services||Government|
|United HealthCare||HMO, Indemnity, PPO, Medicare, Market Place Exchange (Compass)*, Medicaid|
|Value Options||Behavioral Health Medicaid, HMO, PPO, Medicare, HARP|
|Veterans Affairs Community Care Network|
|World Trade Center||Government|
For questions call 914-964-4662
*May not participate with insurance for Lab &/or Radiology services. Please call your Insurance Plan.
What Are The Income Limits?
The amount of the discount varies based on your household income and the number of people in your family. If you have no health insurance or underinsured, these are the income limits:
|Family Size||Annual Family Income||Monthly Family Income||Weekly Family Income|
|1||UP TO $43,740||UP TO $3,645||UP TO $841|
|2||UP TO $59,160||UP TO $4,930||UP TO $1,138|
|3||UP TO $74,580||UP TO $6,215||UP TO $1,434|
|4||UP TO $90,000||UP TO $7,500||UP TO $1,731|
|5||UP TO $105,420||UP TO $8,785||UP TO $2,027|
|6||UP TO $120,840||UP TO $10,070||UP TO $2,324|
|7||UP TO $136,260||UP TO $11,355||UP TO $2,620|
|8||UP TO $151,680||UP TO $12,640||UP TO $2,917|
|FAMILY OF MORE THAN 8 PERSONS EACH ADDITIONAL FAMILY MEMBER $5,140|
Based on the 2023 Federal Poverty Guidelines
What If I Do Not Meet The Income Limits?
If you cannot pay your bill in full, St. John’s Riverside Hospital, offers a payment plan. The amount you may pay depends on your total household income. Payment plans are available to those who exceed the income limits based on the balance and patient responsibility.
Can Someone Explain The Discount? Can Someone Help Me Apply?
Yes, confidential help is available, call St. John’s Riverside Hospital, Financial Counselor, at (914) 964-7799 or visit our website ‘www.riversidehealth.org’ for more information.
If you do not speak English, someone will help you in your language. The Financial Counselor can tell you if you qualify for free or low-cost insurance, such as Medicaid, Child Health Plus and Family Health Plus.
If the Financial Counselor finds that you don’t qualify for low-cost insurance, they will help you apply for our “Health Solution” discount. The Charity Care Program (HEALTH SOLUTION) is designed to provide financial assistance for patients who are unable to pay for all or a portion of their medial expenses incurred at the Hospital and who meet the eligibility guidelines established under the program. The Counselor will help you complete all necessary applications and provide a list of documents you would need to provide.
What Do I Need To Apply For A Discount?
The following documents are necessary to apply for Health Solution:
1. Either two current pay stubs, Social Security/Pension Award letter or other proof of income as advised by the Financial Counselor.
2. State/Federal Photo Identification
3. Proof of address
If you can not provide any of these, you may still be able to apply for Health Solution.
What Services Are Covered?
All hospital services are covered by the discount except for Cosmetic Surgery and Physician services.
Charges from private doctors who provide services in the hospital may not be covered. These may include, but are not limited to: radiologists, pathologists, anesthesiologists, or emergency room physicians, or providers of nursing home services. You should talk to your private doctor to see if they offer a discount or payment plan.
How Much Do I Have To Pay?
The amount for an outpatient service or the emergency room starts at $0 for children and pregnant women, depending on your income. Other outpatient services starts from $8.80 and up, plus New York State Surcharge for adults, depending on your income. An Inpatient admission, depending on your income, will start at $150.00 and up plus New York State Surcharge. Ambulatory Surgery, CT Scan and MRI’s start at $150.00 and up plus New York State Surcharge.
Our Financial Counselor will give you the details about your specific discount(s) once your application is processed.
Either a deposit or payment in full is required prior to providing services depending on your income, for non-emergency services. If you cannot pay the amount in full a payment plan may be set up for your convenience. The payment plan will not be more than 10% of your income before tax.
How Do I Get The Discount?
You must complete a Health Solution application and provide all necessary documents. As soon as all documentation is provided, we can process your application for a discount according to your income level. You may apply for Health Solution before you have an appointment, when you come to the hospital to get care, or when the bill comes in the mail. Bring the completed application to 2 Park Avenue, Yonkers, New York 4th floor, Financial Assistance Unit. You have up to 120 days after receiving services to submit the application. HOW WILL I KNOW IF I WAS APPROVED FOR THE DISCOUNT? St. John’s Riverside Hospital will send you a letter within 30 days after completion and submission of documentation, telling you if you have been approved and the level of discount you will received. If your application is turned down, the hospital will inform you in writing stating the reason why your application was denied. HOW MAY I APPEAL THE DECISION? You may appeal this decision by sending a written letter to the Manager of the Financial Assistant Unit at 2 Park Care, Yonkers, New York 10703.WHAT IF I RECEIVED A BILL WHILE I’M WAITING TO HEAR IF I CAN GET A DISCOUNT? Should you receive a statement you may call the Financial Counselor at (914) 964-7799 to discuss your application. You cannot be required to pay a hospital bill while your application for Health Solution is being considered as long as you have provided all necessary documents. WHAT IF I HAVE A PROBLEM I CANNOT RESOLVE WITH THE HOSPITAL? You may call the New York State Department of Health complaint hotline at (800) 804-5447.