Frequently Asked Questions
What is Accarent Health?
Accarent Health offers transparent, bundled pricing for over 300 medical procedures at toptier
hospitals nationwide, enhancing healthcare decision-making. Our comprehensive online
platform provides clear insights into healthcare quality and costs. Central to our service are
Nurse Case Managers who guide patients through their medical journey, coordinating care
and managing communications. Our nurse advocates assist to ensure patients understand
their care's financial and medical aspects. This approach provides stress-free, quality
healthcare, often without co-pays or deductibles.
What procedures are available through Accarent Health?
Accarent Health offers a wide range of procedures, from total knee and hip replacements to complex
procedures such as cancer treatments, cardiovascular services, solid organ and bone
marrow transplants, etc. Visit our website at www.accarenthealth.com to view our extensive
list of available procedures.
How does Accarent Health select its network hospitals?
We partner with select academic medical centers and top-rated hospitals, ensuring
excellence in care. Our network is chosen based on stringent criteria developed with Johns
Hopkins Hospital, incorporating external credentialing, quality standards, and geographical
diversity. For more details, please visit our website.
Our Process
What is the process after a patient registers with Accarent Health?
When a patient is referred to Accarent Health, we begin by verifying their eligibility as a plan
member. Our team then supports the patient through every stage of their journey, from
medical record collection to discharge, acting as a dedicated advocate. After this verification,
an Accarent Nurse Case Manager reaches out to the patient to guide them through our
process. The patient will receive an information packet and HIPAA forms; upon their
completion and return, we facilitate the referral to the chosen hospital. Subsequently, the
hospital contacts the patient for further consultation or evaluation, with continuous support
from our team.
How is eligibility for a procedure determined?
Patient eligibility is verified with their underlying insurance carrier or plan payor by
Accarent. Once approved, the process begins, and the chosen procedure and hospital are
confirmed.
Who qualifies for a medical procedure?
Eligibility for a procedure is determined by the hospital after consultation and review of
medical records. If the procedure is appropriate, it will be scheduled, or for transplants, the
patient will be listed. The hospital coordinates with the patient and updates Accarent on the
schedule.
Travel and Accommodation
How are travel arrangements handled?
Our concierge team provides assistance with lodging options and transport services near the
selected hospital. Patients are responsible for booking their travel and lodging plans. For
more information, contact our Case Management Department.
Will there be differences in hospital check-in?
Patients should bring their Accarent Identification Letter in lieu of the plan insurance card
when checking into the hospital for evaluation, consultation, or procedure.
Coverage and Costs
What services are included in the Accarent Health Bundled program?
The Accarent program comprehensively covers all essential services associated with the
bundled procedure within the bundled period, when under the care of an Accarent Provider.
This includes not only facility and professional services but also all required supplies and
equipment. Furthermore, it encompasses the treatment of any complications that may arise,
as well as thorough outpatient follow-up care. Adding to the medical aspects, our program
also provides personalized nurse case management, along with concierge and travel
assistance, ensuring a comprehensive and supportive experience throughout.
What are the travel benefits?
Our optional travel benefit, applicable to consultations and procedures, offers a stipend that
varies based on the type of procedure, the duration of time away, and the distance traveled.
The stipend ranges from $250 to $2,500, and there's no need to submit receipts to receive it.
Post-procedure Care
Who should patients contact for post-procedure issues?
For emergent medical issues, contact a local physician or 911. For administrative or general
medical questions, contact your Accarent Nurse Case Manager or the hospital directly.
How is extended hospital stay or post-procedure complications handled?
Accarent case managers will continue as patient advocates, ensuring a smooth transition
back to their referring provider. Complications related to the procedure within the bundled
period are included under the original payment.
Feedback and Questions
For additional questions or feedback about these FAQs, please contact us at
1-866-771-0697 or visit us at www.accarenthealth.com.
