Insurance and Billing

Please bring your insurance cards with you when coming to the center. In most cases, we will be able to give you an estimate on the cost of your procedure beforehand. Our staff will verify your insurance and finalize arrangements before your procedure.

Billing for the facility, physician, anesthesiologist and laboratory (if applicable) is separate. We charge a set fee for each procedure performed at our center. Your physician, anesthesiologist and pathologist, when applicable, will bill you separately for their services.

We accept most insurance plans, including Medicare. Primary and secondary insurance will be billed. Patients who do not have full insurance coverage or have no insurance should make financial arrangements with us. Co-payments are expected at the time of the visit. We accept cash, check, Visa, MasterCard, Discover and AmEx. We 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.

Insurance Plans We Accept

Our surgery center is dedicated to providing consumers with as much information as possible regarding potential healthcare costs. Accordingly, we have listed information on the insurers and providers the center participates in.

It is important you contact your insurance company prior to receiving services or care. Each plan is different and some provide different levels of coverage that could make a difference in your out-of-pocket costs.

• Aetna
• Aetna Medicare
• Alicare
• Amalgamated Life
• AmeriHealth
• AARP Medicare Supplement
• Cigna
• Clover
• Emblem Health
• Empire Blue Cross Blue Shield
• GHI
• GreatWest
• Highmark Blue Cross Blue Shield
• Horizon Out Of State
• Horizon Medigap
• Horizon NJ Health Medicaid
• Humana
• ILA Local 1478-2
• MagnaCare
• Medicaid
• Medicare
• Meritain
• Meritain(Local 472)
• MultiPlan
• NJ Carpenter-Independence Admins
• Oscar
• Oxford Health Plans
• Qualcare
• United Healthcare AARP MR Complete
• Wellcare Medicare

This list may not be comprehensive. For example, specialty insurers such as workers’ compensation and personal injury protection (“PIP”) are not included because there are a number of different types of insurance products and we may not participate in all of them. If you do not see your plan listed on our website, we strongly recommend that you contact us or your health insurance plan to confirm whether your plan is in-network or out-of-network.

In addition, the physicians who provide care within our center might not participate in the same insurance plans as the ASC. You should check with the physician who is arranging your healthcare services to see which insurance plans the physician participates in. You should also know that these healthcare professional(s)’ costs are not included in the facility’s charges. They will bill separately.

Other Care Providers

We work with other providers as part of your care. In addition to a bill from the facility and the physician, you may receive a bill from another provider, depending on the nature of your procedure.

Anesthesia   

Essex Gastro Associates
275 Chestnut St Newark, NJ 07105
(973) 589-5545

Lab/Pathology 

P4 Diagnostix
1433 Hooper Ave Toms River, NJ 08753
(877) 744-7781

Hospital Affiliations

Clara Maass Medical Center
1 Clara Maass DR , Belleville, NJ 07109
(973) 450-2000

Cooperman Barnabas Medical Center
94 Old Short Hills Rd
Livingston , NJ 07039
(973) 322-5000

Saint Michael’s Medical Center
111 Central Ave, Newark, NJ 07102
(973) 877-5000

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.