Insurance and Billing

All services received at the center (equipment, nursing care, sedation, etc.) are included in your single facility fee, which is billed directly by the center, and are covered by most major insurance carriers, including Medicare, Medi-Cal, and most health maintenance organizations (HMOs), preferred provider organizations (PPOs) and point-of-service (POP) managed care plans. We will help you determine what your insurance carrier will cover and what you will be responsible for prior to your appointment. It is customary that your portion of the charges be paid for at time of service. We make that as easy as possible by offering you the option of using cash, personal check, MasterCard or Visa. We also offer the option to pay bills online. With our online bill pay option, you can securely make a payment for your service online with no hassles.

You will receive at least two separate statements for your procedure:

• One statement will be addressed from Airport Endoscopy Center. This bill is a result of the facility fee and takes the place of an outpatient hospital bill. The facility is state licensed and certified by Medicare as an Ambulatory Surgery Center. Your insurance company will be billed separately for these charges. However, during this period, you will continue to receive a statement. Please make arrangements to pay the portion that is not covered by your insurance company as soon as you receive your first statement. Once your insurance company has paid, it will be reflected on your next statement.
• The other statement will be addressed from your physician. This bill is a result of the professional services provided to you. This is the fee the doctor has charged you for doing the procedure. Your doctor’s office will bill your insurance company for these charges. However, during this time period, you will continue to receive a statement. Please make arrangements to pay the portion that is not covered by your insurance company as soon as you receive the first statement. Once your insurance company has paid, it will be reflected on your next statement.
• If your procedure included biopsies or other specimens you may also receive a separate bill from a laboratory. We will send your insurance information to the laboratory and they will bill your insurance company for these charges. Please make arrangements to pay the portion that is not covered by your insurance company as soon as you receive the first statement. Once your insurance company has paid, it will be reflected on your next statement.

Contracted Health Plans

We accept Medicare, Medical, and most commercial insurance plans. Please check with a member of the staff if you have any questions. We will be happy to discuss with you the extent and limitations of you insurance to make sure you are fully aware of your coverage. We work with the following insurance carriers:

• Aetna
• Admar
• BCE Emergis
• Beech Street
• Blue Cross
• Blue Shield
• Care First
• Cash
• Cigna
• First Health
• Great West
• Healthnet
• Medi-cal
• Medicare
• Molina
• One Health Plan
• Pacificare
• Private HealthCare
• Scan
• Secure Horizons
• Universal Care

The Cost of Your Procedure

Because you are responsible for costs for covered healthcare services until you reach your deductible, you should comparison shop if you elect to have a nonemergency procedure.

You can use tools like Healthcare Bluebook and the Medicare Procedure Price Lookup (for Medicare patients).  Many health insurance websites also provide information on where to find in-network services.