Jordan Ellis
The Hospital for Special Surgery (HSS) is an academic medical centre and research institution specialising in orthopaedic and rheumatologic conditions. It is the oldest and top-ranked orthopedic hospital in the United States. HSS accepts most major insurance plans for hospital services, including Medicare. However, insurance coverage accepted by individual HSS physicians varies, and the hospital is not an in-network provider for some Medicare plans.
| Characteristics | Values |
|---|---|
| Name | Hospital for Special Surgery (HSS) |
| Location | 535 East 70th Street, Manhattan, New York City |
| Other Locations | New Jersey, Connecticut, and Florida |
| Insurance Accepted | Most major insurance plans, including Workers' Compensation and No-Fault Insurance |
| Medicare Acceptance | Varies depending on the plan; accepts UnitedHealthcare Medicare PPO and Oxford Medicare |
| Medicaid Acceptance | Not an in-network provider for Aetna's Medicaid |
| Specialties | Orthopedic and rheumatologic conditions, musculoskeletal health |
What You'll Learn
Hospital for Special Surgery accepts most major insurance plans
The Hospital for Special Surgery (HSS) is an academic medical centre and research institution based in New York City. It was founded in 1863 by Dr James Knight and Robert M. Hartley, a secretary of the Association for Improving the Condition of the Poor. The hospital was originally established to provide care for injured Civil War soldiers and underprivileged city residents.
Today, HSS is the world's leading medical centre for musculoskeletal health. It has consistently ranked as the world's top orthopedic hospital and has been rated No. 1 in orthopaedics for 13 consecutive years by U.S. News & World Report (2022-2023). HSS has also been ranked among the best hospitals for orthopaedics and rheumatology for 31 years in a row.
HSS accepts most major insurance plans for hospital services. However, insurance coverage accepted by individual physicians may vary, so it is recommended to verify before booking an appointment. The hospital's website provides a list of insurance plans accepted, which includes:
- Oxford Medicare
- UnitedHealthcare Medicare PPO (varies depending on the individual plan)
- Multiplan/PHCS (in-network status depends on the plan)
- MetroPlus Plans
- NYS Healthcare Exchange/Marketplace plans: Empire BCBS Healthplus Gatekeeper Individual Network
- Aetna programs (HSS is not an in-network provider for Aetna's Medicare Managed Care/Advantage, Medicaid, Savings Plus, NY Signature, and QHP plans)
- No-Fault Insurance (valid case/claim number and authorization are required prior to seeking care)
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It is not an in-network provider for Aetna's Medicare Managed Care/Advantage
The Hospital for Special Surgery (HSS) is an academic medical centre and research institution based in New York City. It specializes in the treatment of orthopedic and rheumatologic conditions and is the oldest orthopedic hospital in the United States. HSS is consistently ranked as the world's top orthopedic hospital.
HSS accepts most major insurance plans for hospital services. However, it is important to note that insurance coverage accepted by individual HSS physicians may vary. Some may not accept the plans listed on the HSS website. Therefore, it is recommended that patients consult the physician's profile page or contact their office to confirm whether their insurance is accepted.
Regarding Medicare, HSS is an in-network provider with select programs, including Oxford Medicare and UnitedHealthcare Medicare PPO (plan-dependent). However, HSS is not an in-network provider for Aetna's Medicare Managed Care/Advantage plans. This means that HSS is not contracted with Aetna to provide services at pre-negotiated rates for their Medicare Managed Care/Advantage products. Patients with these specific Aetna plans may need to pay out-of-network rates or seek alternative in-network providers for their medical needs.
It is always advisable for patients to contact their insurance carriers directly to understand their benefits, coverage, and network status of providers. Additionally, HSS provides an Insurance Advisory Service that can assist patients in understanding their insurance coverage and benefits.
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UnitedHealthcare Medicare PPO status varies depending on the individual plan
The Hospital for Special Surgery (HSS) is an academic medical centre and research institution specialising in orthopaedic and rheumatologic conditions. HSS is the oldest and top-ranked orthopedic hospital in the United States.
HSS accepts most major insurance plans for hospital services. However, insurance coverage accepted by individual HSS physicians varies. HSS is not an in-network provider for some plans, including Aetna's Medicare Managed Care/Advantage, Medicaid, Savings Plus, NY Signature, and QHP plans.
Regarding UnitedHealthcare Medicare PPO, the participation status varies depending on the individual plan. For specific information about UnitedHealthcare Medicare PPO plan acceptance, individuals are advised to contact the HSS Insurance Advisory Service or complete the online form.
It is important to verify insurance acceptance before booking appointments or receiving care to ensure coverage and understand any potential out-of-pocket expenses. HSS provides resources to help patients find appropriate doctors who accept their insurance plans.
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HSS accepts Workers' Compensation
The Hospital for Special Surgery (HSS) is an academic medical centre and research institution based in New York City. It is the oldest and top-ranked orthopedic hospital in the United States, specialising in the treatment of orthopedic and rheumatologic conditions. HSS accepts most major insurance plans for hospital services, including Workers' Compensation.
Workers' compensation is a form of insurance that provides medical benefits and wage replacement to employees injured in the course of employment. It is designed to protect both employees and employers by providing a no-fault system for managing workplace injuries and illnesses. HSS accepts Workers' Compensation claims and has a dedicated Insurance Advisory Service to assist patients with their insurance queries. This service can provide up-to-date information on insurance coverage and serve as a liaison between the patient, their insurance carrier, and the hospital.
To ensure a smooth process when seeking treatment at HSS with Workers' Compensation, there are a few important considerations to keep in mind. Firstly, it is essential to have a valid case or claim number and any necessary authorisations before initiating treatment at HSS. It is also important to note that patients may still be responsible for paying deductibles and co-insurance amounts, and there may be additional limitations or requirements, such as pre-certification. Therefore, it is advisable to contact the HSS Insurance Advisory Service or the patient's specific insurance carrier to confirm coverage details and understand any potential out-of-pocket expenses.
While HSS accepts Workers' Compensation, it is important to recognise that insurance coverage can vary depending on individual physicians and specific plans. Therefore, patients should verify their insurance coverage with the intended treating physician before booking an appointment. This can be done by reviewing the physician's profile page or contacting their office directly. Additionally, patients can seek assistance from HSSConnect, a service that helps individuals find appropriate doctors within their insurance network.
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It is a participating provider with Multiplan/PHCS
The Hospital for Special Surgery (HSS) is an academic medical centre and research institution based in New York City. It was founded in 1863 by Dr James Knight and is the oldest orthopedic hospital in the United States. HSS is consistently ranked as the world's top orthopedic hospital.
HSS accepts most major insurance plans for hospital services, but insurance coverage accepted by individual HSS physicians varies. The hospital is a participating provider with Multiplan/PHCS. However, in-network status depends on your policy plan. HSS is not an in-network provider for Aetna's Medicare Managed Care/Advantage, Medicaid, Savings Plus, NY Signature, and QHP plans.
For more information about insurance coverage, patients can contact the HSS Insurance Advisory Service at 212.774.2607. This service can provide up-to-date information on insurance coverage and serve as a liaison between the patient, their insurance carrier, and the hospital. Patients can also contact HSSConnect at 877.606.1555 for help finding an appropriate doctor who takes their insurance.
It is important to note that HSS accepts Workers' Compensation and No-Fault Insurance, but patients must have a valid case/claim number and authorization before seeking care.
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Frequently asked questions
Hospital for Special Surgery is not an in-network provider for Aetna's Medicare Managed Care/Advantage. However, the hospital accepts most major insurance plans and is a participating provider with Multiplan/PHCS.
Hospital for Special Surgery is an in-network provider with several insurance programs, including Aetna, Oxford, and UnitedHealthcare.
Hospital for Special Surgery (HSS) is an academic medical center and research institution specialising in the treatment of orthopedic and rheumatologic conditions. It is headquartered in New York City and has locations in New Jersey, Connecticut, and Florida.
