Insurance Information
We strongly encourage you to call your insurance carrier and discuss your coverage and the details of your policy. We can only give you a baseline price for your procedure.
Accepted Plans
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Aetna HMO & PPO
Aetna Medicare HMO & PPO
Cigna PPO
Allegiance
Meritain
First Health CCN PPO Networks
Freedom Health Medicare HMO
Global Medical Management
Humana Choice Care EPO, HMO, Indemnity, Medicare Advantage PPO, POS
Multiplan/PHCS
Plan Vista
Staywell/Wellcare
Molina
BCBS PPO
United Health Care
Railroad Medicare
Tricare
Champ VA
International Benefit Administrator
Liberty Healthshare
Medicare
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Medicare
Railroad Medicare
BCBS (PPO, Network Blue, Traditional, Blue Select, Health Options)
Medicare Advantage
Allegiance
Meritain
Aetna (HMO, PPO, Medicare)
Cigna
First Health/Coventry
Freedom Health
Global Medical Management
Healthsmart
Humana (Choicecare, Medicare)
Molina
Multiplan/PHCS
Medavant (NPPN)
Wellcare/Staywell
Billing
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Standard office co-pays per your insurance plan will apply to these services.
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Endoscopy services are surgical procedures and will be processed under the surgical provision of your insurance plan. Procedures may be for screening purposes or diagnostic in nature and your insurance company may reimburse differently depending on the reason for your procedure. Some insurance plans have exclusions for out-patient surgical procedures or have different out-of-pocket expenses based on the location where the procedure is performed. Deductibles may apply but your office visit co-pays will not apply to these services.
The fees associated with endoscopic services that you can expect to billed for include:
A professional fee for the physician’s services (Gastroenterology Specialists).
A facility fee for use of the surgery facility which provides the equipment, sedation and monitoring (Premier Endoscopy Center or Hospital).
A bill for anesthesia services.
A fee for pathology services if a tissue sample is submitted for analysis.
DEPENDABLE MEDICAL ACCOUNTS PHONE # 239-732-1133 ext. 101 for Premier Endoscopy Center and ext. 105 for Gastroenterology Specialists
Insurance FAQs
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When you have a procedure at Premier Endoscopy Center separate fees are billed:
1. A professional fee for the physicians’ services
2. A facility fee for use of the surgery facility.
The professional fee is billed under Gastroenterology Specialists and says “this is your doctors bill” at the bottom of your statement. The surgery facility is billed under Premier Endoscopy Center and says “this is your facility bill” at the bottom of the statement.
You may also get a bill from the anesthesia services and if any biopsies are done, you may get statements from the laboratory that prepared the specimens and the pathologist that read the slides.
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No. The Gastroenterology Specialists physicians perform endoscopy services at Premier Endoscopy Center which is a free-standing ambulatory surgery center. They also perform procedures at the area hospitals should your insurance require this.
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We strongly encourage you to call your insurance carrier and discuss your coverage and the details of your policy.
We can only give you a baseline price for your procedure. The baseline cost of your procedure does not include the removal of biopsy or polyps. The price is subject to change if biopsy or polyps are removed.
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Some insurance plans have exclusions for outpatient surgical procedures or have different out-of-pocket expenses based on the location where the procedure is performed. Deductibles may apply. Your office visit co-pay will not apply for a procedure. We strongly encourage you to call your insurance carrier to confirm your benefits before the procedure.
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We participate with most insurance plans, please see the list of plans we accept above or call our billing office at 239-732-1133 ext. 101 for Premier Endoscopy Center and ext. 105 for Gastroenterology Specialists.