Financial Assistance / Patient Discounts Policy / Summary of Discount Approval Levels

Summary of Discount Approval Levels

SUMMARY OF DISCOUNT APPROVAL LEVELS

Type

Services Deemed Medically Necessary

Discount Amount

Approval Required

Uninsured Individuals who receive technical services at VUMC, except Vanderbilt Wilson County Hospital

Yes

68%

Uninsured individuals who receive VMG professional services

Yes

68%

Uninsured Individuals who receive technical services at Vanderbilt Wilson County Hospital

Yes

85%

Uninsured individuals

No

0%

Services at VUMC, not covered by Insurance provided to Individuals with Contracted Payer Coverage

Yes

58% unless patient is deemed FAP qualified

Account Reimbursement Specialist (ARS) – Lead ARS, Patient Financial Services

Technical services at Vanderbilt Wilson County Hospital not covered by Insurance provided to Individuals with Contracted Payer Coverage

Yes

80% unless patient is deemed FAP qualified

Account Reimbursement Specialist (ARS) – Lead ARS, Patient Financial Services

Services not covered by Insurance provided to Individuals with Contracted Payer Coverage

No

0%

Non-Contracted Payers

Yes

Not to exceed 40%

AVP Managed Care

Non-Contracted Payers

No

0%

International Individuals (includes Embassy Sponsored)

Yes

 <30%

30% – 40%

Assistant Director, PFS

AVP Managed Care

International Individuals (includes Embassy Sponsored)

No

0%

Patient requests to restrict the use and disclosure of information; Patient requests that VUMC not bill insurance for services

N/A

0%

Type

Services Deemed Medically Necessary

Discount Amount

Approval Required

Market sensitive services where Alternative Pricing has been deployed

N/A

Follows the established alternative pricing; no additional discounts available

All Other Discounts Categories Not Specifically Addressed Above Including Discounts > 40%

>40%

Chief Financial Officer and Deputy Chief Executive Officer