If an otherwise eligible patient is readmitted following a robotic prostatectomy, will the patient and his insurance company (if applicable) be charged by the urologists and St. Luke’s?
It depends. St. Luke’s, SLCU and NUA have agreed not to bill eligible patients or their insurance companies (if applicable) for charges associated with any readmission to St. Luke’s within thirty (30) days of the procedure as a direct result of an adverse outcome caused solely by a participating urologist’s technical portion of a robotic prostatectomy performed at St. Luke’s. In other words, the limited guarantee will apply to readmissions at St. Luke’s if a participating urologist’s technical portion of the surgery causes an adverse outcome. This includes things within the direct control of the urologists during the technical portion of the surgery, but it excludes many other risks generally associated with surgery. However, this does not include a readmission caused by an adverse outcome if the adverse outcome is not caused solely by a participating urologist’s technical portion of the surgery.
Related Questions
- If an IFPM patient is readmitted following pelvic reconstructive surgery utilizing mesh, will the patient and her insurance company (if applicable) be charged by IFPM and St. Lukes?
- What happens if an otherwise eligible patient is readmitted to a different hospital other than St. Luke’s?
- What happens if an eligible patient is readmitted to a different hospital other than St. Lukes?
