Insurance & Billing
Insurance Participation
Tri-County Gastroenterology accepts the following insurance plans:
- Aetna
- Blue Care Network
- Blue Care Network Advantage (Medicare)
- Blue Cross Blue Shield of Michigan (PPO, Blue Choice, Community Blue)
- CIGNA
- Cofinity
- HAP
- Humana
- McClaren Health Plan
- Medicare
- Medicare Plus Blue
- Priority Health
- Tricare
- United Health Care
Please note that this is not an all-inclusive list of insurance plans accepted by Tri-County Gastroenterology. If you do not see your insurance company listed above, please call our office. If you have a POS or HMO policy, a referral from your primary care physician is required.
We are participating providers with Medicare, BCBSM and several managed care insurance plans, and we follow the rules and guidelines of these plans. You are responsible for all deductibles and co-payments applicable to your contract.
Our coordination of your care with other health providers is a priority.
Coverage
Our Billing Department can check insurance eligibility however, you may want to verify your benefits with your insurance company. We suggest contacting your insurance company to obtain coverage information for your procedure or visit to better prepare for possible financial obligations.
Screening vs Diagnostic Coverage
Insurance companies often provide coverage for screening colonoscopy. However, if during your screening procedure the physician removes a polyp or performs a tissue biopsy, the procedure may ultimately be considered diagnostic and may no longer qualify for coverage as a screening service. In this case, you may be responsible for all or part of the procedure costs. It is important to research these matters prior to having a procedure.
Statements
If you have an outstanding balance on your account, you will receive an itemized statement from our office. Statements are mailed out monthly via first class mail. We trust that all mailed statements are received by our patients; therefore, if we do not receive payment in full or if financial arrangements are not established, any past-due account will be reviewed for collections action. Our billing staff is available to support you with any billing questions or concerns, so please feel free to call (586) 569-3379 for assistance.
Payment Methods
We accept payment by cash, check, VISA, MasterCard, Discover and American Express. You may also conveniently make online payments by accessing the “TCG Patient Portal“.