Robert T. Lewis, MD, FACS, Daniel J. Mullins, MD, FACS, Andrew C. Raissis, MD, FACS, Rachel B Scott, DO, Ly C. Tran, PA-C , Robin C. Tedesco, PA-C, Meghan Dolan, PA-C, Ann Navage, APRN, CWOCN
Phone - 860-242-8591
Fax - 860-242-2511
Insurance plans have varying out of pocket obligations for their members. It is the patients responsibility to know their coverage including referral, coinsurance, deductible and copay requirements. If you have any questions about your coverage, please contact your insurance carrier directly.
Insurance coverage providing accurate insurance information for all visits is the patients responsibility. If your coverage cannot be confirmed as active for the visit you will be treated as a self-pay patient at which point payment in full is expected at the time of service.
Referral Requirement it is the policy at CRSGH that a valid, non-expired referral must be on file at the time of visit for patients whose insurance requires a referral by their primary care doctor to be seen by a specialist. If your plan requires a referral and one is not valid at the time of service your appointment will be rescheduled.
Office visits during the course of your scheduled appointment additional procedures maybe required to fully evaluate and/or treat your condition. Any additional procedure(s) performed would be separately billable services to your insurance and may result in additional out of pocket cost from you.
Copays Policy Copays are due at the time of service including any outstanding copay balances. If you are unable to pay your copay at the time of service your appointment will be rescheduled.
Deductibles & Coinsurance- We will submit claims for services rendered to your insurance carrier(s) for processing. Any patient responsibility as determined by your insurance plan(s) will be billed to you. Payment is expected in full upon receipt of your statement.
Scheduled In-office procedures - Therapeutic Botox injections & Peripheral Nerve Evaluations (PNE's) are scheduled in advance. Your benefits will be checked at the time of scheduling. If you have not met your deductible/coinsurance requirements we will provide you with an estimated out of pocket cost which is expected to be paid prior to the date of service. This is only an estimate. Once your insurance has finalized your claim any additional amount, they determine to be your responsibility will be billed to you. Payment in full for the balance is expected upon receipt of the statement.
Colonoscopy - out of pocket cost for a colonoscopy varies greatly depending on the type of coverage and the reason the procedure is being performed. If your colonoscopy is being performed due to a sign/symptom or personal history of colorectal findings including previously found polyps, cancer etc. your insurance may consider that a diagnostic service not a screening. We will code the procedure based on the reason it is being performed and cannot change it to a screening to bypass a plans reimbursement policy. It is up to the patient to understand their coverage based on the indication and contact their plan regarding all possible out of pocket requirements. Our billing department will be happy to provide you with coding information in order for you to call prior to the procedure with the understanding that the procedure code itself can change based on intra-procedure findings. Our billing department can be reached at 860-929- 7978. In the event the procedure is booked for an indication that it typically considered diagnostic we will expect payment of $250.00 two weeks prior to the procedure, for all Non-Medicare patients, if you have not met your deductible/coinsurance requirements. Once your insurance has finalized your claim any additional amount, they determine to be your responsibility will be billed to you. Payment in full for the balance is expected upon receipt of the