It depends on your insurance and the type of coverage you have as to the coverage of your services at Gastroenterology Associates of Ithaca. You should contact your insurance plan to determine what co-pays and/or deductibles you have for office visits to a specialist or endoscopic procedures.
For patients who are scheduled for Screening Colonoscopies: Please be advised in the event of a finding, such as the removal of polyps, the procedure would no longer be considered a screening exam and your insurance coverage could change to diagnostic colonoscopy benefits. Please check with your insurance carrier.
If you were seen in our office for symptoms prior to the colonoscopy; this would not be considered a screening colonoscopy examination (even if you were due for a screening at this time). Precertification may be required.
Please check with your insurance carrier for coverage for both a Screening and Diagnostic Colonoscopy.
If you have an appointment with our Nurse Practitioner, she is considered a specialist as well. In general, the major health plans we accept include:
This list is not a guarantee of coverage by your insurance carrier, nor does it imply that we participate with all coverage policies sponsored by a particular insurance carrier. It is meant for general information purposes only. Some health plans use smaller networks for certain products they offer so it is important to check whether we participate in the specific plan you are covered by. Please contact your insurance carrier to verify our participation with your individual coverage plan. IF YOUR PLAN IS NOT ON THE LIST WE DO NOT PARTICIPATE WITH THAT HEALTH PLAN AND YOUR CARE COULD BE CONSIDERED OUT OF NETWORK.
If you are having a procedure; it is also important to know that there will be separate charges for the hospital as well as the pathologist (should biopsies or specimens be taken). Please contact the hospital in which your procedure is scheduled to inquire about coverage of their services and to obtain the name and information of their contracted pathologist. We are affiliated with Cayuga Medical Center.
You may request a written estimate of costs that will be submitted to your insurance on your behalf. Please be advised that these are just estimates and that the costs could increase due to unanticipated circumstances (i.e. a polyp is found and removed by varying techniques). Upon request you will be provided a list of other physicians and facilities that may be involved in your care. You must contact them directly to discuss their participation with your insurance plan
This site was last updated 01/03/17