CrescentCare serves anyone who comes to us for care, regardless of their ability to pay or their insurance status. 

Cost should not be a barrier to your health care.  Cost for services will vary based on the services provided, insurance status, income and household composition and other factors.

What Care Costs:

We offer a sliding discount on fees for CrescentCare services to people who qualify. Discounts are available to families whose household income is at or below 200% of the federal government’s Poverty Guidelines (updated annually; see the chart at right).

CrescentCare defines family/household as individuals who describe and present themselves as a family for services, regardless of actual or perceived marital status, sexual orientation or gender identity.A family may be a group of related or unrelated persons who share living arrangements, and share expenses and income.

HHS Poverty Guidelines for 2018

The 2018 poverty guidelines are in effect as of January 13, 2018.

See also the Federal Register notice of the 2018 poverty guidelines, published January 18, 2018

2018 Poverty Guidelines

(For the 48 Contiguous States and the District of Columbia)

Persons in family/household Poverty guideline
$12,140
2 $16,460
3 $20,780
4 $25,100
5 $29,420
6 $33,740
7 $38,060
8 $42,380
For families/households with more than 8 persons, add $4,320 for each additional person.

If you have insurance: payments and deductibles

If you have insurance, all applicable co-payments and deductibles must be paid at the time of service. You may be eligible for the sliding fee discount on your portion of the balance, even if you have insurance. Please note, if you have more than one appointment in the same day, you may have two separate copays.  Please be aware that some of the services you receive may not be covered – or not considered reasonable or necessary – by your insurance. You must pay for these services at the time of your visit, unless other arrangements have been made. If your insurance company does not pay your claim, the balance will automatically be billed to you.  Payment plans are available upon request.

Labs:

If you have insurance, your labs will be billed directly to your insurance plan by the lab.  The lab company will bill you directly for any costs your insurance doesn’t cover.  If your household income is below 200% of the Federal Poverty Level, lab costs are included in your visit cost.  We can still see you for services even if you do not want us to bill your insurance for services. You will be responsible for all billed fees. If you need lab services, the lab company will bill you directly.

If you don’t have insurance, we can help you enroll.

CrescentCare can help patients with enrollment in the Medicaid, Medicare, or the federal marketplace for health insurance coverage. CrescentCare is certified with the state of Louisiana as a Medicaid Application Assistance Center. Most people who are citizens of, or lawfully present in, Louisiana who have an income below 138% of the Federal Poverty Level ($18,210 a year for a single person in 2018) are eligible for Medicaid based on family income.

INSURANCE PLANS NOT IN NETWORK WITH CRESCENTCARE

BLUE CROSS BLUE SHIELD

  • Blue Connect (Ochsner)
  • Community Blue Network (Shreveport and Baton Rouge only)
  • OGB Magnolia Local

HUMANA

  • Humana Total Care Advantage HMO
  • Humana Ochsner HMO
  • Humana HMO Gold Plus SNP
  • Humana Ochsner Tier 1 (CrescentCare Medical Plan)

PEOPLES HEALTH

  • CIGNA (only providers, no Nurse Practitioners or Therapists)

This means that you will have to pay the out of network costs associated with those plans. If you have questions, please talk to one of our staff.

INSURANCE PLANS WE ACCEPT:

  • Aetna
  • Aetna Better Health
  • All Savers
  • Amerigroup
  • Amerihealth Caritas
  • Amerihealth
  • APWU
  • Blue Cross Blue Shield
  • Beacon Health Options
  • Benefit Planners
  • Christian Brothers
  • Cigna
  • Coordinated Benefits Plan
  • Covenant Administration
  • Coventry
  • First Choice
  • First Health
  • GEHA
  • Gilsbar
  • Golden Rule
  • Great West Healthcare
  • HealthNet
  • Humana
  • Humana Medicare Advantage
  • Louisana Healthcare Connections
  • Magellan
  • Mail Handlers
  • Medicaid
  • Medicare Part A
  • Mental Health Network
  • Met Life
  • MVP Healthcare
  • NALC Benefits Plan
  • Neighborhood Health Plan
  • New Orleans Electrical Health plan
  • Novitas Solution Medicare Part B
  • Office of Group Benefits
  • PHCS
  • Pinnacle Health
  • Planned Administrators
  • Priority Health
  • Pyramid Life
  • Seven Corners
  • Tricare North and South Region
  • United Health Care (AARP, Behavioral Health, Healthy Louisiana, Medicare HMO, Oxford)
  • United Medical Resources
  • United World
  • Universal Healthcare
  • VA Health Administration
  • Value Options
  • Vantage Medicare
  • WEB TPA
  • Wellcare Medicare

Payment FAQ

I’m sick and I haven’t seen a doctor because I’m afraid of what it’s going to cost. What should I do?

CrescentCare serves anyone who comes to us for care, regardless of their ability to pay or their insurance status.  We believe that cost should not prevent you from getting the care you need.

If you’re sick, call 504-207-2273 and make an appointment.  We offer same day appointments.

If I get treatment, what is it going to cost?

Your costs will vary based on the services provided, your insurance, your income, the composition of your household, and other factors.

CrescentCare offers a sliding discount fee program on our services to people who qualify for the program.

What’s a sliding discount? How does it work?

It means that people who have less income pay less towards their care.  If you qualify for the sliding fee discount program, the lower your household income, the less you will pay towards your care.  There are four different levels.

For example, if you have two people in your household and your combined household income is $16,460 you will be responsible for the nominal charge of $15 at your medical visit.

Another example is that if you have 3 people in your household, and your household income is $31,650 you will receive an 85% discount at your visit, and you will be responsible for 15% of the cost of your medical visit.

If you have 1 person in your household and your income is $24,280 a year you will receive a 50% discount on the cost of your medical visit.

You can view the sliding fee discount charts here.

The goal is to make sure that cost is not a barrier to care for people who cannot afford it and who qualify based on the program rules.

Who qualifies for the sliding fee discount program?

You may qualify for a discount if your family/household income is at or below 200% of the federal government’s Poverty Guidelines.

What do you mean by family or household?

We define family as individuals who describe and present themselves as a family for services, regardless of actual or perceived marital status, sexual orientation or gender identity.  A family may be a group of related or unrelated persons who share living arrangements, and share expenses and income.

What are the poverty guidelines?

Every year the Federal  Department of Health and Human Services (HHS) in Washington D.C. releases the poverty guidelines for administrative purposes — for instance, to determine financial eligibility to qualify patients to be eligible to pay reduced costs for services.

What do I need to bring in to qualify for the sliding fee scale discount program?

Please bring proof of income for each member of your household with you to your appointment.

Does CrescentCare offer free care?

CrescentCare is a federally qualified health center.  We receive some grant funding to provide care to our community at rates that our patients can afford.  It is not free care.

I don’t have any insurance. What do I do?

Call this number 504-293-6863 to make an appointment.  We can help you enroll in Medicaid, Medicare, or the federal marketplace (during an open enrollment period) for health insurance coverage. CrescentCare is certified with the state of Louisiana as a Medicaid Application Assistance Center. Most people who are citizens of, or lawfully present in, Louisiana who have an income below 138% of the Federal Poverty Level ($18,210 a year for a single person in 2018) are eligible for Medicaid based on family income.

I have health insurance through my job. Do I have to pay a copay when I come in for treatment?

This depends on your insurance plan.  If you have insurance, all applicable co-payments and deductibles must be paid at the time of service.  We understand how confusing insurance can be and we will help you figure it out.

You may be eligible for the sliding fee discounts on your portion of the balance (deductible), even if you have insurance. Please note, if you have more than one appointment in the same day, you may have two separate copays.

What if my insurance doesn’t cover everything?

Please be aware that some of the services you receive may not be covered – or not considered reasonable or necessary – by your insurance. You must pay for these services at the time of your visit, unless other arrangements have been made.

What are other arrangements?

We can work with you on a payment plan or a hardship waiver.  Please ask our staff for more information.

What if I do not want the services to go through my insurance company?

If you do not want to bill your insurance for services we can still see you. You will be considered self-pay and are responsible for your charges.

How do I know if the services are covered before I receive them?

Our goal is to ensure we have good communication with you about the services we provide to you.  Our highly trained medical professionals determine what is medically necessary and reasonable. If there are questions, our staff will discuss this with you.  Your insurance company may need to be contacted to see if services are covered. Please talk to our staff for more information.

Do all services at CrescentCare qualify for the sliding fee scale?

CrescentCare offers all medical, dental and behavioral health on a sliding fee scale. The slides and discounts for dental and medical care are different.

What if I don’t want to accept a service unless it is covered by my insurance? Will I be given the opportunity to opt out of treatment that is not covered before I receive it?

You can always opt out of treatment.    If you are concerned about a service not being covered by your insurance please talk to your provider and our staff.

What if I receive treatment that is not covered by my insurance, and I cannot afford it?

If your insurance company does not pay your claim, the balance will automatically be billed to you. Payment plans are available upon request.

What kind of payment plan? How do I request it?

Payment plans allow you to pay your balance overtime in more manageable amounts. Please contact 504-212-2785

What about lab work?

If you have insurance, your labs will be billed directly to your insurance plan by the lab company.  The lab company will bill you directly for any costs your insurance does not cover.  If your household income is below 200% of the Federal Poverty Level (see the chart below), lab costs are included in your visit cost.

2018  

Persons in Household 200% of the Federal Poverty Level
1 $24,380
2 $32,920
3 $41,560
4 $50,200
5 $58,840

 

What if I do not qualify for the discount and do not pay my bill?

CrescentCare will work with you to develop a payment plan.  CrescentCare retains the right to send patients who have the ability but nevertheless refuse to pay to collections.

I’m confused about costs and insurance. Who can I talk to?

If you have questions, please call 504-212-2785 and we’ll do our best to answer your questions.

We are required by law to post these notices:

PATIENT PAYMENT NOTICE: SLIDING FEE DISCOUNT FOR MEDICAL CARE

Hover, then click the icon on the document to enlarge.

PATIENT PAYMENT NOTICE:SLIDING FEE DISCOUNT FOR DENTAL CARE

Hover, then click the icon on the document to enlarge.

Image of person filling out a health insurance form
Insurance Enrollment & Paying for Care         See a Map

Available at these locations:

3308 Tulane, Marine Bldg.

CrescentCare Health & Wellness Center

  504-207-2273
  3308 Tulane Ave.
  New Orleans, LA 70119

  Hours:

Monday & Thursday: 8:30am-5:00pm
Tuesday & Wednesday: 8:30am-8:00pm
Friday: 8:30am-4:00pm
Saturday: 8:00am-12:00pm

1631 Elysian Fields Exterior

CrescentCare Elysian Fields

  504-821-8601
  1631 Elysian Fields Avenue
  New Orleans, LA 70117

  Hours:

Selected Services begin December 3rd;
Please refer to our Move Schedule.
Hours vary by department.

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