Understanding Your Insurance Benefits

Peninsula Gastroenterology makes every effort to help patients navigate insurance requirements before receiving services. Our office will review the insurance information you provide, check for required authorizations when applicable, and provide information you may need to verify your benefits.

However, insurance verification or authorization does not guarantee coverage or payment. Your insurance policy is an agreement between you and your insurance carrier, and ultimately, it is the patient's responsibility to understand and confirm their benefits before receiving services.

What Peninsula Gastroenterology Will Do

• Review and verify the insurance information you provide
• Check whether authorization is required and obtain or confirm authorization when applicable
• Let you know when we are aware that a referral or authorization is required
• Provide applicable CPT and diagnosis codes upon request, when available

What We Ask Patients to Confirm

• Peninsula Gastroenterology is in network with your specific plan and network
• If you are having a procedure, the facility where your procedure will be performed is also in network
• Whether a referral or authorization is required
• Your remaining deductible and applicable copay and/or coinsurance
• Coverage for the specific service or procedure you are receiving
• Any other expected out-of-pocket responsibility

Important: Insurance verification, in-network participation, or an approved authorization does not necessarily mean that your services will be covered at 100% or that you will have no out-of-pocket responsibility.