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Guide to Financial Services

Before your initial appointment 

Your financial counselor will meet with you to explain the financial process in detail and answer any questions you may have.

If you need additional appointments 

Your financial counselor will prepare a detailed cost estimate for you. We must receive a deposit of 100 percent of the estimated cost before we can begin any services. Actual charges may vary from the original estimate—we will monitor your account closely and keep you informed.

Before your departure

Not all charges post before you leave. If your visit was extensive, your financial counselor may ask to meet with you and review all posted and estimated charges and any payments made. If additional consultations and/or tests were performed, your financial counselor may request an additional deposit. Your final bill, mailed approximately 90 days after your visit, reflects all charges.

Methods of payment

Johns Hopkins Medicine International accepts:

  • Credit card (Visa, MasterCard, American Express, Discover Card)
  • Traveler’s checks 
  • Cash 
  • Wire transfers

Please contact your care coordinator for electronic funds transfers.

Frequently asked questions

Why am I required to sign a credit card authorization form?

We need your signed credit card authorization as confirmation for us to schedule your initial appointment. This authorization gives us permission to charge your card for any estimated or posted charges. However, we will not charge your card without first notifying you of the exact amount of the charge. Finally, should you cancel less than 48 hours before your appointment, we will charge a $250 cancellation fee to your card.

Why must I make a deposit for my treatment?

Deposits are required seven business days before scheduled inpatient surgeries and two business days before scheduled outpatient appointments and procedures. Deposits must be 100 percent of the personalized cost estimate prepared by your financial counselor.

Can Johns Hopkins bill my insurance company for my medical charges?

Johns Hopkins has contracts with several international insurance companies. Insurance pre-authorization for care is required seven to 10 business days before the scheduled appointment. If we cannot obtain preauthorization, or if Johns Hopkins is not contracted with your insurance company, we will ask you to make a deposit for your treatment. We will make every effort to supply you with billing invoices and medical records to help you obtain reimbursement from your insurance company.

When will I receive my final bill and statement?

Charges for medical visits do not post immediately. As a result, a final bill that includes all hospital and physician charges is not issued until approximately 90 days after your visit. Your final bill and statement includes refunds or overpayments, which we credit back to you by the same method of payment that you chose for your deposits. We will make every effort to accommodate urgent billing requests.