We know healthcare insurance and medical billing can be confusing. And we want to help. Please take a moment to review this page to help you understand some key points about insurance coverage and billing procedures at Digestive Care Center. If at any time you have a question, you can always contact one of our trained billing and insurance staff who will be happy to answer your questions.
Business Office Hours
Monday-Friday: 7:30 am – 4:30 pm
Insurance Coverage and Payment Policy
If you have insurance coverage, it’s important to be prepared for out-of-pocket costs such as deductibles, co-payments, co-insurance and non-covered services. Payment is due at the time of service. You will be asked to read and sign the Payment Policy Agreement at the time of your first visit.
The Digestive Care Center billing team will send you a Benefit Verification letter outlining an estimate of out-of-pocket costs for potential procedures and services. This amount will be collected on the Date of Service. We recommend that you contact your insurance company to verify participation and costs prior to your procedure.
We accept payment by cash, check, CareCredit, VISA, MasterCard, American Express and Discover.
Procedure Billing Information
Digestive Care Center offers the full spectrum of digestive care services from several healthcare providers. Following a procedure, you may receive bills from several different providers, depending on the location of your procedure.
If your procedure was performed in our Evansville endoscopy center:
- A bill from Digestive Care of Evansville for the physician charges, facility charges (noted with an “F” on your statement), and pathology charges (if pathology done at DCC).
- A bill from St. Vincent if your pathology was sent to St. Vincent.
- A bill from Anesthesia Care Associates for anesthesia services.
If your procedure was performed in our Jasper endoscopy center:
- A bill from Digestive Care of Evansville for the physician charges and pathology charges (if pathology done at DCC).
- A bill from Jasper Endoscopy Center for facility charges.
- A bill from Memorial Hospital and Healthcare Center if pathology sent to the hospital.
- A bill from Jasper Anesthesia Care Associates for anesthesia services.
Digestive Care Center will bill your procedure to the primary insurance company and to a secondary insurance company, when applicable. Please ensure we have a copy of the most up-to-date insurance information each time you visit. Ultimately, you are responsible for the charges associated with your procedure as outlined in the Payment Policy Agreement. Following the processing of your claims, if your insurance company pays more than anticipated towards your services, a refund of all/part of your payment will be issued.
Balance Due Statements
If you have a balance due on your account, you’ll receive a statement. Statements are mailed out on a 28-day billing cycle. If payment is not received on your account or financial arrangements are not established with a member of our billing team, any past due account will be reviewed for submission to an outside collection agency. This is in accordance with the Payment Policy Agreement.
Referrals and Pre-Certification
As a courtesy to you, we will contact your insurance company to obtain pre-authorization or pre-certification for services provided by our office. Prior authorization does not guarantee coverage and/or payment by your insurance company. It is always a good idea for you to contact your insurance company prior to any procedure to verify costs, coverage benefits and prior authorization for services.
Uninsured Patients and High-Deductible Insurance Participants
Patients without insurance or those having high deductible insurance plans should contact the billing department in order to make payment arrangments before services are rendered. Payment is required at the time of service. In addition to our accepted payment methods noted above, we also with with Care Credit to offer patients a deferred-interest financing option for patients who quality. If you would like to see if you qualify for Care Credit to assist with paying for your medical expenses, please go to https://www.carecredit.com and select “Apply”. If you qualify and are approved, please let the billing staff know you are using Care Credit to pay for your services and we will assist you in using this to get a 12-month deferred interest payment plan.
Screening Vs. Diagnostic Coverage
Insurance companies often provide screening coverage for routine screening colonoscopy. However, if during the course of your routine screening the physician removes a polyp or performs a tissue biopsy, the procedure may be considered diagnostic and may not qualify for coverage as a screening. In this case, you may be responsible for all or part of the procedure cost. It is important for you to discuss this with your insurance provider to determine your out-of-pocket costs in these instances.
Outpatient Procedure Rescheduling/Cancellation
Providing an ideal experience for our patients means we are always respectful of your time — and do all we can to accommodate each patient’s scheduling needs. To help accomplish this, we ask that you be on time for all appointments, especially outpatient procedures — which means arriving early to complete any needed paperwork. We know that conflicts happen, so we also ask that you notify us as quickly as possible should you need to reschedule your outpatient procedure for any reason — please contact us at least 48 hours prior to your scheduled outpatient procedure.
Digestive Care Center participates with the following insurance plans and/or networks:
- Medicare (including most Medicare Advantage Plans)
- Medicaid of Indiana (including MHS, MDWise, and Caresource plans)
- Anthem (including HIP/Medicaid plans)
- Deaconess Health Plans (including WebTPA, Encore, First Health)
- Veteran’s Affairs (Optum)
- United Healthcare
- Medicaid of Kentucky (traditional, Wellcare, and Humana Medical only)
- Illinois Medicaid (traditional only)
Disclaimer: This is a general listing of participating insurances and networks. Please contact your provider prior to your visit to verify coverage.