Patient Financial Responsibility

National Jewish Health is a specialty hospital facility.

Please be aware, National Jewish Health is a hospital facility and the physicians are employees of the hospital. Therefore, in addition to a specialty physician co-payment, a hospital co-payment, deductible, and/or co-insurance may apply to your cost share. If you have any questions about your financial responsibility, please contact your insurance carrier to discuss your out-patient hospital benefits and network requirements.   

We understand that billing and payment for health care services can be confusing and complicated. Knowing the details of your insurance policy is vital to receiving the maximum benefits possible. Failure to meet your insurance requirements, such as network restrictions, may result in partial or complete claim denial and/or a higher patient cost share/responsibility. 

We need your most current insurance information prior to your appointment. 

As a courtesy to patients and their families, National Jewish Health submits claims to most insurance carriers. To insure proper and prompt processing of your claim, it is important that all current insurance information be presented prior to your appointment. Please have a copy of your insurance card and your driver’s license or other form of identification with you when you check-in.  

Referrals, Access Authorizations and Testing Authorizations

Referrals:  National Jewish Health is a specialty hospital. Consequently, many insurance plans require a referral in order to access health care at National Jewish Health. If your insurance plan has such a requirement, it is your responsibility to obtain a referral from your Primary Care Physician and/or Specialist Physician. Your PCP should work with your insurance and fax referrals to 303.270.2153. 

Authorizations for testing:  If your insurance plan requires that medical services/testing scheduled to be pre-certified or pre-authorized, National Jewish Health will attempt to obtain such approval from the insurance plan or the entity responsible for utilization management. 

Authorizations to have care at National Jewish Health:  Authorization to have services are National Jewish Health should also be coordinated by your PCP or referring physician. For example, if you have Kaiser, you must have authorization to come to National Jewish Health from Kaiser. Failure to meet your insurance requirements may result in partial or complete claim denial or a higher co-payment/or deductible, and you may be responsible for the remaining balance. It is your responsibility to make sure that you have the proper approvals to have services at National Jewish Health.

Help is available for understanding you insurance plan and benefits for services at National Jewish Health

National Jewish Health staff are available to assist you in understanding your hospital insurance benefits. We attempt to verify your eligibility is effective prior to medical services being completed. However, depending on your specific plan, the health plan determines if services at National Jewish are out-of-network or will be covered. Knowing the details of your insurance policy is vital to receiving the maximum benefits possible. Failure to meet your insurance requirements, such as network restrictions, may result in partial or complete claim denial and/or a higher patient cost share/responsibility.

Estimates and Costs

Estimates of your financial responsibility is based on the information provided by you and your insurance plan. Please remember that your insurance plan benefits are a contract between you, your employer and your insurance company. It is in your best interest to know and understand your benefits.

Please visit the Pricing & Expense Estimate page. 

Facility Fee

National Jewish Health charges and bills a facility fee when patients have an evaluation & management (visit) service with a physician.  The facility fee accounts for nursing and other supportive type clinical services, like medication monitoring and management, lung monitoring, floor stock supplies and specialty care visit coordination.  The facility fee dollar figure fluctuates with the level of care rendered.  

What if you do not have insurance?

In the event you do not have insurance coverage, or cannot pay the patient responsibility portion of your bill, you will be asked to speak with one of our Patient Insurance Benefit Specialists. Our financial counselors are trained to assist you in meeting your financial obligations. We offer a variety of payment plans and discounts. We accept all major credit cards. Our Patient Insurance Benefit Specialists can also assist you in applying for charitable or public assistance programs for which you may be eligible. This service is provided to you at no cost, however, your cooperation is essential to successfully qualify for these programs. You are still financially responsible for the medical services until you are qualified for one of the programs. Please contact our Patient Finance Office at 303.398.1065 with any questions prior to your visit. 

View our Financial Assistance Policy. 

Pharmacy Copays

Please remember, that all of your co-payments for prescriptions will be collected at the Pharmacy.