Insurance & Billing
Your procedure at Endoscopy Center of Santa Monica, an Ambulatory Surgery Center, will involve a number of separate and distinct services that will be billed to your insurance.
- Endoscopy Center of Santa Monica Facility Fee
- Anesthesia Fee (If applicable)
- Lab/Pathology Fee (If Applicable)
Co-Pays
Your insurance plan may have different coverage levels for different services. For example, you may be responsible for paying your physician a co-pay for his/her professional fees for procedure. In addition to the physician co-pay, you may also have a facility co-pay. Payment is expected at the time of service.
Co-Insurance
Co-insurance is a percentage of the procedure charges (e.g., insurance plan pays 80% and you pay 20%), subject to your plan’s coverage limits. You may owe co-insurance to either the physician or endoscopy center or both. Also be aware that co-insurance may be in addition to your co-pay. Payment is expected at the time of service.
Deductibles
You may also have an annual deductible amount that must be met by you prior to any payment of services by your insurance. In this case, you may have both an annual deductible and co-insurance that is your responsibility. Payment is expected at the time of service.
Every insurance plan is different. You may have a co-pay, co-insurance, and deductible or some combination of the three. It is your responsibility to understand your plan and benefits – we can help. Prior to procedure you will receive a call from a financial advisor. They will verify your insurance and give you a estimate of your patient responsibility, based on what your physician has scheduled. The amount that is quoted to you is based on Endoscopy Center of Santa Monica’s contracted rate with your insurance. Your estimated patient responsibility is due at the time of service.
Day of Your Procedure
Please remember to bring all insurance cards and other pertinent documents with you on the day of surgery so that we may process your insurance papers for you. We accept American Express, Visa, and MasterCard with credit card approval on the date of payment. We also accept personal checks and cash at the facility.
