Insurance

We would like to take this opportunity to welcome you and your family to Physicians Endoscopy Center, with a staff committed to providing you and your family with the best possible care. Please take a moment to read our Financial Policy. At Physicians Endoscopy Center, taking the time to discuss any financial obligation is one more step to a successful visit.

Prior to your visit, assignments of benefits are obtained. Claims are submitted to your insurance company the next business day from your day of treatment. Your level of benefits is a contract between you and your insurance company, any additional payment remaining, is your responsibility based on your chosen plan. Please be mindful, some insurance companies do not cover Colon Cancer Screenings as part of their contracts. If at anytime your insurance company chooses not to render payment, it is then the responsibility of the patient to submit the remaining balance.

When you check in for your procedure, your deductible and coinsurance are due, based on the summary of benefits obtained from your insurance company.

If you are a patient paying by cash, alleviating any coverage from a medical insurance company, payment for your procedure is due at check in, unless payment arrangements have been made prior to your visit.

With the knowledge that financial problems may arise, affecting timely payment on your account balance, Physicians Endoscopy Center encourages you to contact us promptly for management of your account.

If there is a need for further explanation or you do not see your insurance company listed as a participating insurance company with Physicians Endoscopy Center, please contact us for further assistance. Thank you for choosing Physicians Endoscopy Center.

Participation Insurance Plans:

STATEMENT OF PATIENT RIGHTS
AND RESPONSIBILITIES

PATIENT RIGHTS

• Patients are to be treated with respect, consideration and dignity.
  
• Patients are to be provided appropriate privacy.
  
• Patient disclosures and records are to be treated confidentially, and except when required by law, patients are given the opportunity to approve or refuse their release.
•  Patients are provided, to the degree known, complete information concerning their diagnosis, evaluation, treatment and prognosis.  When it is medically inadvisable to give such information to a patient, the information is provided to a person designated by the patient or to a legally authorized person.
• Patients are given the opportunity to participate in decisions involving their health care, except when such participation is contraindicated for medical reasons.
• Information is available to patients and staff concerning:
  • Patient rights, including those specified in this section
• Patient conduct and responsibilities
• Services available at the ASC
• Provisions for after-hours and emergency care
• Fees for services and payment policies, and
• Credentialing of health care professionals.
• Patients have the right to refuse to participate in medical research programs.
• Patients are to be informed of their right to change primary or specialty physicians if other qualified physicians are available.
• Marketing or advertising regarding the competence and capabilities of PEC is not misleading to patients.
• Patients are to be informed about procedures for expressing suggestions to the organization and policies regarding grievance procedures and external appeals, as required by state and federal law and regulations.

PATIENT RESPONSIBILITIES   

• The patient has the responsibility to provide accurate and complete information concerning his/her present complaints, past illnesses and hospitalizations and other matters relating to his/her health.
• The patient is responsible for reporting perceived risks in their care and unexpected changes in their condition to their responsible physician.
• The patient and family are responsible for asking questions when they do not understand what they have been told about the patient’s care or what they are expected to do.
• The patient is responsible for following the treatment plan established by his/her physician, including the instructions of nurses and other health professionals as they carry out the physician's orders.
• The patient is responsible for keeping appointments and for notifying the facility or physician when he/she is unable to do so.
• The patient is responsible for his/her actions should he/she refuse treatment or not follow his/her physician's orders.
• The patient is responsible for assuring that the financial obligations of his/her facility care are fulfilled as promptly as possible.
• The patient is responsible for following facility policies and procedures.
• The patient is responsible for being considerate of the rights of other patients and facility personnel.
• The patient is responsible for being respectful of his/her personal property and that of other persons in the facility.

Any complaint or grievance may be directed to the Administrator, Physicians Endoscopy Center at (713) 587-0909, extension 105.  If your complaint or grievance is not resolved to your satisfaction, you may contact the Health Facility Compliance Group at the Texas Department of State Health Services, 1100 West 49th Street – MC 1979, Austin, TX 78756 (888) 973-0022.