- For Pre-Planned Services: Call to pre-certify and receive a referral number. Pre-certification documentation will be sent to the Provider/Facility upon request. The negotiated estimated payment portion amount needs to be secured prior to receiving any services. Once confirmation of ability to pay has been received, a referral number will be given.
- For Emergency Visits: notify us and receive a referral number within forty-eight (48) hours of an Emergency Visit.IN CASE OF AN EMERGENCY, IMMEDIATELY CONTACT YOUR DOCTOR DIRECTLY OR CALL 911.
- Fees: Representative will coordinate all resources and negotiate with the provider and/or facility for contracted savings. Prior to the procedure, Representative will obtain a good faith estimate of the cost involved for the treatment and inform you of their estimated payment portion in writing.
- Arrival For Scheduled Services: Upon arrival for services, present the GHNH membership card to provide proof of the right to services to GHNH Providers/Facilities along with the pre-certification/referral number obtained from the Galaxy representative in order to ensure proper billing of services rendered.
- Payment: Members will be responsible for any payment after either insurance and/or contracted discount is applied. All payments will be made directly to the FACILITY and/or PROVIDER of services.
*Hospital benefit not available in Maryland
THIS IS NOT HEALTH INSURANCE, NOR IS IT INTENDED TO REPLACE INSURANCE. Payment must be made at the time of service in order to receive a discount.
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