Colonoscopy, Upper Endoscopy, Sigmoidoscopy

Insurances

Notice to all HMO and PPO patients:

Your HMO or PPO health insurance plan has specific rules you must follow in order for you to avoid liability for full payment on services rendered.

We participate with many HMO and PPO plans. It is your responsibility as a patient to provide us with an updated authorization/referral on the day of your scheduled procedure.

Our office cannot be held responsible for obtaining authorizations/referrals. If we do not have an authorization on file on the date of your scheduled procedure, our appointment schedulers will reschedule you for a later date.

To avoid this problem, we suggest you contact your primary care physician in advance. This will allow them sufficient time to provide you with an authorization.

We believe you should know the following information about your plan:
1. What does your insurance plan cover or not cover?
2. Must you present a referral/authorization for each office visit?
3. What is your payment (co-payment/deductible) responsibility for each visit?
4. Which hospitals have a contract with your plan?
5. Is the physician you are seeing fully covered by your plan?
6. Which clinical laboratory is covered by your insurance (Quest or Labcorp)?

We have an in-house pathologist which we recommend; however, your insurance may require that we send your specimens to a designated location.

You are responsible for co-payments and deductibles on the day that services are rendered. For your convenience, our office accepts cash, checks, Master Card, Visa, and American Express.

Finally, this is your insurance plan. Please familiarize yourself with the rules every rule of the health plan. Knowing this information can save you substantial amounts of money. Your insurance company will mail a summary of charges, payments, denials, or requests for further information. Please review all insurance correspondence.

Health Plans - HMOs
Health Plans - Medicare HMOs
Health Plans - PPOs/POSs