Insurance and Billing
We realize how confusing, frustrating and time consuming medical billing can be. Navigating through Insurance Company EOB’s (Explanation of Benefits), co-payments, deductibles, physician office statements and facility fees is not an enjoyable way to spend your day. We are here to help make the billing process a little easier and more understandable.
Following your procedure, you will receive a bill from each of the following parties: Premier Outpatient Surgery Center, your Surgeon and Anesthesiologist. Premier Outpatient Surgery Center’s Facility bill only reflects charges for your services at our center. The bill does not include fees for your Surgeon or Anesthesiologist. In some cases, you may receive bills for laboratory, pathology or radiology services. Should you have any questions, please don’t hesitate to call and we will be happy to assist you.
COPAYMENTS & DEDUCTIBLES: Prior to your surgery, we will verify your insurance coverage and contact you with information regarding your co-payment and deductible responsibilities. We accept cash, check and credit cards and you will be provided with a receipt.
SELF PAY: If you are not covered by insurance, we will require payment in full prior to your procedure. We will contact you prior to your procedure to inform you of the facility fee. However, in some cases, we offer a convenient payment plan.
OUT OF NETWORK: If Premier is not contracted with your insurance company, we will provide your services on an “Out of Network” basis. Your insurance company will send you an Explanation of Benefits (EOB), which is simply an explanation of what you may owe for the services provided. EOB’s are communication from your insurance company. Your facility fee bill will come directly from Premier Outpatient Surgery Center. Please call us if you have any questions regarding your insurance company’s Explanation of Benefits.
IMPORTANT: Sometimes an insurance company will send payment for services directly to the patient. If you receive a check from your insurance company, it is your responsibility to send the check to our facility.
For questions regarding your facility bill from Premier, please call our business office at (909) 370-2190.
- Blue Cross -Anthem Blue Shield
- Brand New Day Bright Medical
- Central Health Medicare Plan Choice Citizens RPN
- Cigna Corvel
- Coventry- First Health WC Easy Choice
- Epic- Redlands/Yucaipa IPA Exclusive Care
- First Health WC Great West Health Net Heritage IPA
- Health Care Financial- HFS Health Smart
- Hispanic IPA
- Inland Empire Health Plan IEHP Medicare
- Medicare Railroad Medi-Cal
- Molina Healthcare Multi-Plan
- Prime Care – Optum lpa Prime Health Services Redlands Community Hospital Regal Medical Group
- Three Rivers-TRPN Tricare/Champva- UHC
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.
A High-Deductible Health Plan (HDHP) is a plan with a higher deductible than a traditional health insurance plan.
A High Deductible Health Plan (HDHP) can be a wise way to save money on health insurance and take a proactive role in your healthcare.
Health insurance is an agreement between you and an insurance company of your choosing.