It’s something you’ve always wanted to do, but something else was always there to hold you back. Well, not anymore. We offer CareCredit, a card designed specifically for your healthcare needs. CareCredit can help you move forward with getting the procedure you’ve always wanted. With low minimum monthly payment options, no up-front costs and no prepayment penalties, you can get your procedure sooner.
Your healthcare credit card.
CareCredit is the credit card exclusively for healthcare services. With low monthly payments every time you use it, you can use your card over and over for follow-up appointments or different procedures. This means you don’t have to put your health on hold until you save up enough money. We give you the power to decide when it’s the right time for you.
With CareCredit, you can:
- Get the treatment or procedure you want, when you want it
- Enjoy low minimum monthly payments
- Pay no up-front costs or pre-payment penalties
Apply now or to learn more about CareCredit, please contact us.
Insurances Accepted
Eastside Endoscopy Center participates in most medical insurance plans. Many of them are listed below. If you do not find your medical insurance company listed below, please feel free to contact our billing department at (586)-447-5113. A member of our specialized billing department will be glad to assist you.
| AARP | HAP Medicare Advantage |
| Aetna | Federal Blue Cross |
| Aetna HMO/Managed Care | HAP Senior Plus |
| Aetna PPO/Partners | Health Plus |
| Alliance Health & Life (AHL) | Humana |
| Blue Care Network | Medicare |
| Blue Care Network Advantage |
Medicare Advantage |
| BCBS | Medicare Plus Blue |
| BCBS - Out of State | Priority Health HMO (Care Choices) |
| Beech Street (formerly Capp Care) |
Priority Health PPO (Preferred Choices) |
| Cigna (all) | Private Health Care Systems (PHCS) |
| Cofinity/PPOM | Smarthealth |
| Commercial Plans | Smart Network |
|
Coventry |
Total Healthcare |
| Great West | Tri-care/CHAMPUS (Military) |
| HAP - Health Alliance Plan HMO |
United Health Care |
| HAP - Health Alliance Plan PPO |
Patient Billing Explanation
You are scheduled to have an endoscopic procedure at Eastside Endoscopy Center. The procedure will be performed by one of the GI Medicine physicians. During the procedure you will receive sedation administered by one of the Eastside Group LLC anesthesiologists/CRNA's (Certified Registered Nurse Anesthesiologist).
Frequently during the endoscopy your doctor will take a biopsy(s). If a biopsy is obtained, the specimen will be processed at either at the GI Medicine Histology Lab or St. John Hospital and will be interpreted by one of the pathologists from Pathology Specialists of Southeast Michigan.
Your procedure will generate the following different charges to your insurance or to you, if you do not have insurance:
- Professional Fee: This is the fee from the GI Medicine physician that performed your procedure. If you have questions regarding the physician fee, please call GI Medicine Associates at 586-498-0280.
- Facility Fee: This is the fee from Eastside Endoscopy Center where your procedure is going to be performed. If you have questions regarding the facility fee, please call the Eastside Endoscopy Center at 586-447-5113.
- Anesthesia Fee: This is the fee from Eastside Group for the services provided by the anesthesiologist or CRNA. If you have questions regarding the anesthesia fee, please call Anesthesia Revenue Management at 586-838-5034.
- Histology Lab Fee: This is the fee from GI Medicine or Pathology Specialists of Southeast Michigan for processing the biopsy.
- Pathology Fee: This is the fee from Pathology Specialists of Southeast Michigan for the interpretation of the biopsy by one of the pathologists. If you have questions regarding the pathology fees, please call Pathology Specialists of Southeast Michigan at 800-535-3074.
How to read your insurance statement:
Your insurance statement, (EOB), sometimes can be confusing. The following information may help you to understand this document:
- Total Charges: This is the amount that the provider charges the insurance. THIS IS NOT THE AMOUNT OF MONEY THAT THE PROVIDER EXPECTS TO COLLECT.
- Allowed Amount: This is the total amount that the provider is expected to receive from insurance and/or patient combined. (It is also called the negotiated amount or expected amount).
- Payable amount: This is the amount that the primary insurance will pay.
- Patient responsibility: This is the difference between the allowed amount and the payable amount. This represents the deductibles and co-payments. If you have a secondary insurance they may pay for all or part of the "patient responsibility", depending on your contract.
Issues related with screening colonoscopy:
What is a screening colonoscopy? A screening colonoscopy is a colonoscopy that is performed in order to find out if the patient has colon polyps or cancer. It is not a colonoscopy that is performed to explain the patient's symptoms (i.e. blood in stools, changes in bowel movements, etc.).
Medicare will cover screening colonoscopies. Medicare will not apply the deductible to screening colonoscopies but will apply the co-payment.
Most of the private insurances will cover screening colonoscopies, but there are a few insurances and contracts that will not cover screening procedures like colonoscopies.
If a Medicare patient is scheduled for a "screening colonoscopy" and during procedure a polyp is found or the physician needs to take a biopsy, this procedure is no longer considered screening. Medicare requires that we now bill as a non-screening (diagnostic) colonoscopy. In this situation, the patient now becomes responsible for the deductible if it has not been met.
We are legally obligated when we bill Medicare and private insurance carriers, to follow their billing policies based on the medical information available to us. Not following Medicare rules will be considered fraud and will expose us to significant penalties.
Please call the numbers listed above if you have any questions regarding your bill - we will be happy to help you.
Billing
At Eastside Endoscopy Center our fees are based on the complexity of the office consultation or visit and the procedure performed. Our professional fees are comparable to other gastroenterology practices in the area.
If you have a procedure performed by one of our physicians you will also receive a charge from the facility where the procedure was done. This is the facility fee. That fee may vary depending on the facility, medical equipment used and the staff required to perform the procedure. Procedures performed at outpatient facilities, like the Eastside Endoscopy Center, are customarily at least up to 50% less than hospital charges.
At Eastside Endoscopy Center we do the initial billing for your services to your primary insurance carrier as a service to you. If you have a secondary insurance carrier we will also bill that carrier. It is your responsibility to know if your insurance has specific rules or regulations for referrals, authorization or pre-certification requirements. Our experienced billing staff and referral specialist will assist you with this.
Our Policy
- We will bill your insurance company for covered services.
- We will bill you for deductibles and services not covered.
- Payment is expected for all insurance copays and non-insured office services at the time of the visit (if in office).
- We accept cash, check, Mastercard and Visa.
- We anticipate that any payments will be made as soon as possible.
