A National Cancer Institute-designated Comprehensive Cancer Center

Make an appointment: 800-826-HOPE
Insurance, Billing & Legal Information Bookmark and Share

Helping You with Insurance, Billing and Legal Issues

 
We welcome any and all general insurance questions. City of Hope contracts with most major Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO) for hospital services. Additionally, City of Hope is a participating provider in government programs such as Medicare, MediCal and Tricare/Champus.

Insurance coverage will vary depending upon your insurance company, your plan and the state in which you live. Please speak with a representative from your insurance company to ensure that your treatment is covered. HMO plans will require a written authorization from the primary care physician authorizing care at City of Hope in order to receive coverage for treatment.

For more information, visit our medical insurance site or call the City of Hope Managed Care Department: 626-256-HOPE (4673), ext. 86850.
 
Existing Patients - Has your insurance changed?
 
To ensure that we have the most current insurance information on file for our existing City of Hope patients, please use the Insurance Update Form to notify us of any updates or changes that may have recently taken place. Please return the completed form in one of two ways:
 
  1. Submit form by mail:

    City of Hope
    Financial Support Services
    1500 Duarte Road
    Duarte, CA 91010
     
  2. Submit form by fax: 626-301-8135
     
If any assistance is needed with form, please contact Financial Support Services at (626) 256-4673, ext. 80258.
 
 
Financial Counselors
 
Financial support services staff at the Duarte main campus location serves as a problem-solving resource for insurance and financial issues before a particular treatment or service has occurred:
 
  • Financial counseling
  • Explanation of benefits & eligibility
  • Expected out of pocket costs
  • Insurance Authorization
  • Medical necessity screening
     
Financial counselors are available Monday through Friday, 8 a.m. to 5 p.m. For additional questions, please call City of Hope Financial Support Services: 626-256-HOPE (4673), ext. 80258.
 
Directory of Financial Counselors
All patients have been assigned a Patient Financial Counselor who is responsible for assisting with the financial aspect of his/her care. The following table identifies the phone extension of the assigned Patient Financial Counselor. Call (626) 256-HOPE (4673) and the extension shown:
 
Breast and Gynecological programs: ext. 69279 Pediatric programs: ext. 65086
Head, Neck and Neurology programs: ext. 68415 Prostate and Urological programs: ext. 63761
Hematology Patients: ext. 68416 Radiation Oncology Patients: ext. 32050
Liver, Lung and Diabetes programs: ext. 68193    

 
 
 
 
 
 
Financial Assistance Program
 
Please discuss your individual needs with a City of Hope financial counselor. Upon completion of a Financial Assistance Application Form, along with the submission of all required documents, you may be eligible for financial assistance as defined by the City of Hope Charity Care Policy.
 
Billing

Payment or other questions regarding your City of Hope bill after the treatment or service has occurred:
 
  • Questions about your City of Hope Medical Center (Duarte) bill: 800-270-4673
  • Questions about your doctor bill (Medical Group): 866-235-4673
 
Other Resources
 
Practical issues can sometimes complicate your ability to receive medical care. Concerns such as transportation to your appointments, assistance applying for disability insurance and questions about your legal rights might be factors in your care.  You are not alone in sorting through them. Below are resources that can help.
 
  • Patient Resources Coordinator
Our patient resources coordinator focuses on providing patients and families with practical resources such as financial assistance, transportation to your Duarte appointments, healthcare referrals, support groups, childcare  and more, so that you can focus on getting treatment. Call 626-256-HOPE (4673), ext. 32273 for more information.
 
  • Cancer Legal Resource Center (CLRC) Legal Resources
In this seminar, hosted by City of Hope's Biller Patient and Family Resource Center, a CLRC Staff Attorney provides an overview of CLRC services for patients, caregivers and healthcare professionals. The seminar touches on the many legal issues that may arise from cancer diagnosis through survivorship, including: health insurance options; employment rights and reasonable accommodations in the workplace; taking time off work; and access to disability insurance and government benefits, such as Supplemental Security Income and Social Security Disability Insurance.  Also available en Español. Call 626-256-HOPE (4673), ext. 32273 for more information and times.
 

Insurance, Billing & Legal Information

Helping You with Insurance, Billing and Legal Issues

 
We welcome any and all general insurance questions. City of Hope contracts with most major Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO) for hospital services. Additionally, City of Hope is a participating provider in government programs such as Medicare, MediCal and Tricare/Champus.

Insurance coverage will vary depending upon your insurance company, your plan and the state in which you live. Please speak with a representative from your insurance company to ensure that your treatment is covered. HMO plans will require a written authorization from the primary care physician authorizing care at City of Hope in order to receive coverage for treatment.

For more information, visit our medical insurance site or call the City of Hope Managed Care Department: 626-256-HOPE (4673), ext. 86850.
 
Existing Patients - Has your insurance changed?
 
To ensure that we have the most current insurance information on file for our existing City of Hope patients, please use the Insurance Update Form to notify us of any updates or changes that may have recently taken place. Please return the completed form in one of two ways:
 
  1. Submit form by mail:

    City of Hope
    Financial Support Services
    1500 Duarte Road
    Duarte, CA 91010
     
  2. Submit form by fax: 626-301-8135
     
If any assistance is needed with form, please contact Financial Support Services at (626) 256-4673, ext. 80258.
 
 
Financial Counselors
 
Financial support services staff at the Duarte main campus location serves as a problem-solving resource for insurance and financial issues before a particular treatment or service has occurred:
 
  • Financial counseling
  • Explanation of benefits & eligibility
  • Expected out of pocket costs
  • Insurance Authorization
  • Medical necessity screening
     
Financial counselors are available Monday through Friday, 8 a.m. to 5 p.m. For additional questions, please call City of Hope Financial Support Services: 626-256-HOPE (4673), ext. 80258.
 
Directory of Financial Counselors
All patients have been assigned a Patient Financial Counselor who is responsible for assisting with the financial aspect of his/her care. The following table identifies the phone extension of the assigned Patient Financial Counselor. Call (626) 256-HOPE (4673) and the extension shown:
 
Breast and Gynecological programs: ext. 69279 Pediatric programs: ext. 65086
Head, Neck and Neurology programs: ext. 68415 Prostate and Urological programs: ext. 63761
Hematology Patients: ext. 68416 Radiation Oncology Patients: ext. 32050
Liver, Lung and Diabetes programs: ext. 68193    

 
 
 
 
 
 
Financial Assistance Program
 
Please discuss your individual needs with a City of Hope financial counselor. Upon completion of a Financial Assistance Application Form, along with the submission of all required documents, you may be eligible for financial assistance as defined by the City of Hope Charity Care Policy.
 
Billing

Payment or other questions regarding your City of Hope bill after the treatment or service has occurred:
 
  • Questions about your City of Hope Medical Center (Duarte) bill: 800-270-4673
  • Questions about your doctor bill (Medical Group): 866-235-4673
 
Other Resources
 
Practical issues can sometimes complicate your ability to receive medical care. Concerns such as transportation to your appointments, assistance applying for disability insurance and questions about your legal rights might be factors in your care.  You are not alone in sorting through them. Below are resources that can help.
 
  • Patient Resources Coordinator
Our patient resources coordinator focuses on providing patients and families with practical resources such as financial assistance, transportation to your Duarte appointments, healthcare referrals, support groups, childcare  and more, so that you can focus on getting treatment. Call 626-256-HOPE (4673), ext. 32273 for more information.
 
  • Cancer Legal Resource Center (CLRC) Legal Resources
In this seminar, hosted by City of Hope's Biller Patient and Family Resource Center, a CLRC Staff Attorney provides an overview of CLRC services for patients, caregivers and healthcare professionals. The seminar touches on the many legal issues that may arise from cancer diagnosis through survivorship, including: health insurance options; employment rights and reasonable accommodations in the workplace; taking time off work; and access to disability insurance and government benefits, such as Supplemental Security Income and Social Security Disability Insurance.  Also available en Español. Call 626-256-HOPE (4673), ext. 32273 for more information and times.
 
Quick Links
Patient Care Overview

With Cancer, Expertise Matters

 
Cancer patients need to have confidence in their treatment plans by exploring all possible options. Often that means they should get a second opinion. For these four patients, getting a second opinion from experts at City of Hope was life-saving.
Your insurance company/medical group will tell you if you need any authorizations. You can also find out what, if any, co-payments and deductibles will be your responsibility.
Interpreter Services
City of Hope offers free interpretation for patients and caregivers whose first language is not English. Please call 626-256-HOPE (4673), ext. 62282, to reach the Clinical Social Work office.
Local Hotels, Motels and Services
Many hotels, motels and restaurants in neighboring communities offer special discounts to City of Hope | Duarte patients and their families.
 
 
With MyCityofHope your health information is right at your fingertips, anywhere, any time.


NEWS & UPDATES
  • We’ve seen it in science fiction: The aliens begin terra-forming a planet to create a friendly habitat that gives them, not the inhabitants, all the advantages when the colonization begins. Turns out, cancer does essentially the same thing when it metastasizes, according to new research from City of Hope. The f...
  • Equipping the immune system to fight cancer – a disease that thrives on mutations and circumventing the body’s natural defenses – is within reach. In fact, City of Hope researchers are testing one approach in clinical trials now. Scientists take a number of steps to turn cancer patients’ T cells – white b...
  • As treatments for lung cancer become more targeted and effective, the need for better technology to detect lung cancer mutations becomes increasingly important. A new clinical study at City of Hope is examining the feasibility of using blood and urine tests to detect lung cancer mutations, potentially allowing ...
  • When it comes to breast cancer risk, insulin levels may matter more than weight, new research has found. The study from Imperial College London School of Public Health, published in the journal Cancer Research, indicates that metabolic health – not a person’s weight or body mass index – increases breast cancer ...
  • No one ever plans to have cancer – and there’s never a good time. For Homa Sadat, her cancer came at a particularly bad time: just one year after losing her father to the pancreatic cancer he had battled for two years. She was working a grueling schedule managing three commercial office buildings. She’d just [&...
  • Patients at City of Hope – most of whom are fighting cancer – rely on more than 37,000 units of blood and platelets each year for their treatment and survival. Every one of those units comes from family, friends or someone who traded an hour or so of their time and a pint of their […]
  • Surgery is vital in the treatment of cancer – it’s used to help diagnose, treat and even prevent the disease – so a new colorectal cancer study linking a decrease in surgeries for advanced cancer to increased survival rates may raise more questions than it answers for some patients. The surgery-and-surviv...
  • Age is the single greatest risk factor overall for cancer; our chances of developing the disease rise steeply after age 50. For geriatric oncology nurse Peggy Burhenn, the meaning is clear: Cancer is primarily a geriatric condition. That’s why she is forging inroads in the care of older adults with cancer. Burh...
  • One of American’s great sportscasters, Stuart Scott, passed away from recurrent cancer of the appendix at the young age of 49. His cancer was diagnosed when he was only 40 years old. It was found during an operation for appendicitis. His courageous fight against this disease began in 2007, resumed again with an...
  • When Homa Sadat found a lump in her breast at age 27, her gynecologist told her what many doctors say to young women: You’re too young to have breast cancer. With the lump dismissed as a harmless cyst, she didn’t think about it again until she was at a restaurant six months later and felt […]
  • What most people call a “bone marrow transplant” is not actually a transplant of bone marrow; it is instead the transplantation of what’s known as hematopoietic stem cells. Such cells are often taken from bone marrow, but not always. Hematopoietic stem cells are simply immature cells that can ...
  • Doctors have long known that women with a precancerous condition called atypical hyperplasia have an elevated risk of breast cancer. Now a new study has found that the risk is more serious than previously thought. Hyperplasia itself is an overgrowth of cells; atypical hyperplasia is an overgrowth in a distorted...
  • Don’t kid yourself. Just because it’s mid-January doesn’t mean it’s too late to make resolutions for a happier, and healthier, 2015. Just consider them resolutions that are more mature than those giddy, sometimes self-deluded, Jan. 1 resolutions. To that end, we share some advice from Cary A. Presant, M.D., an ...
  • Sales and marketing executive Jim Murphy first came to City of Hope in 2002 to donate blood for a friend who was being treated for esophageal cancer. The disease is serious. Although esophageal cancer accounts for only about 1 percent of cancer diagnoses in the U.S., only about 20 percent of patients survive at...
  • Aaron Bomar and his family were celebrating his daughter’s 33rd birthday in September 2014 when he received alarming news: According to an X-ray taken earlier that day at an urgent care facility, he had a node on his aorta and was in danger of an aneurysm. Bomar held hands with his wife and daughter and s...