Insured Patients

As a courtesy, we will bill your primary and/or secondary insurance carrier or governmental agency directly for our facility fee (see SSC Facility Fee in this menu for more details).

By providing us with your current insurance information, we will authorize your coverage benefits prior to your procedure and then bill your insurance carrier for our services directly after your procedure.

Please be aware of any admission policies your insurance plan may have. You or your physician may have to adhere to certain requirements in order to insure maximum reimbursement. Failure to obtain pre-authorization, physician referral or a second opinion may greatly reduce or eliminate your benefits.

You should receive an explanation of benefits from your insurance company showing how our claim was processed and indicating your responsibility for any applicable balance. You will also receive a statement from our facility reflecting any amounts paid and any discounts or adjustments to your account.

You will be responsible for any co-pays and/or deductibles on the day of surgery. To review our payment terms, forms of payment and more billing related topics, please select each menu item on the left-side of this page.

Accepted Insurances

Southgate Surgery Center participates with all major health insurance carriers and most plans. The list below may be subject to change. Please call us to confirm that we accept your insurance well in advance of your procedure.

As of July, 2018:

AAA Insurance
AARP
AARP Medicare Complete
Aetna
Aetna Better Health
Alliance Health and Life Insurance Company
Allstate
American Medical Security
American National Life
Ameriprise
Amica
Auto Owners
Bankers Life and Casualty
BCN Advantage
BCN of Michigan
Blue Cross Blue Shield of Michigan
ChampVA
Cigna
Cinergy Health
Cofinity
Connecticut General Life Insurance Company
Core Source
Erickson Advantage
Fep BCBS
Fidelis Secure
Gallagher Bassett Insurance
Golden Rule
Great Lakes Health Care
Great West Life
HAP
HAP Midwest
HAP Personal Alliance
HAP Senior Plus
Health Plan of Michigan
Health Plus of Michigan
Humana Claims
Medicaid MI
Medicare Part B
Medicare Advantage
Medicare Plus Blue
Meridian Health Plan of Michigan
Meritain Health
Molina
NGS American
NGS Coresource Mt. Clemens
Omnicare Coventry Health Plan
Paramount Health
Priority Health
Progressive
Railroad Medicare
SAFCO
State Farm Health Insurance
Strategic Resource
Titan
Total Health Care
Tricare
UMR
United American Insurance Company
United Healthcare
Veterans Administration (VA)

Insurances Not Accepted

We do not accept the following list of insurances. However, each plan is subject to change, please call us to confirm your plan's status at our facility.

As of July, 2018:

4STAR HAP
BCN Advantage Focus
BCN Advantage Healthy Saver Health Plan
BCN Advantage Local HMO
BCN Connected Care
BCN Detroit Metro Health
BCN U-M Premier Care
Beech Street
Blue Cross Complete
DMC Care
HAP 4Star HAP
HAP HMO Self-Funded Henry Ford Preferred
HAP Integrated Delivery System
Harbor Medicare Plans
Healthchoice Community Care Associates
Henry Ford Axcess
Humana Detroit X
McLaren Health Plan
Medicare - Part A
Midwest Adult Benefit Group
Midwest Adult Benefit O.R
Midwest AKM (Wayne County Health Choice)
NGS OHSCare
NGS Oakwood
Wayne County 4Star


*Due to new insurance products becoming available daily please contact our facility for additional verification.

SSC Facility Fee

The billing statement you will receive from Southgate Surgery Center is our facility fee for your procedure. Our fee includes:

• Patient facility use
• Nursing staff and technical personnel services in pre-op, OR and post-op
• Medications and supplies, including those used for anesthesia
• Surgical dressings, supplies and clinical equipment
• Lens implants (if applicable)
• Infection control items and services
• Administrative services and staff
• Scheduling and medical record supplies
• Technology (ORA, Laser Cataract Surgery)

Your surgeon and anesthesia team may bill you separately for their services. To learn more about other provider bills, click on each menu item to the left of this page.

To review our payment terms, forms of payment and more billing related topics, please select each menu item on the left-side of this page.

Surgeon

Your performing physician will bill you separately for their surgical services. Contact your surgeon's office about anything related to their bill.


Anesthesia

Your anesthesia is administered by an anesthesia care team -- a certified registered nurse anesthetist (CRNA) and a physician anesthesiologist, who medically directs the CRNA. As such, depending on your insurance provider, you may receive two separate bills for the anesthesia services; one for the nurse anesthetist and one for the physician.

Note that the total amount is the same whether the anesthesia is administered by a care team or by a single provider.

Please direct any anesthesia billing inquiries to Metropolitan Anesthesia Consultants (800) 758-7226

SSC Payment Terms

All insured patient accounts with outstanding balances are due upon receipt of our statement. After 90 days, past-due accounts are submitted to a collection agency.

If you have any questions about our payment terms, please contact our billing department by phone at (734) 281-0100 or by email here.

Accepted Payments

For your convenience we accept the following forms of payment in-person, by phone or mail:

  • Cash (in-person only)
  • Personal check (due three business days prior to your procedure)
  • Discover
  • Visa
  • MasterCard
  • CareCredit (apply here)
  • Money Orders (in-person only)
  • Traveler's Checks (in-person only)

When making a payment, please provide us with your account number. It is a
six-digit number located near the upper-right corner of your billing statement.


Contact Billing

If you still have questions about your Southgate Surgery Center account and
any statements or bills, please contact our billing department by phone at
(734) 281-0100 or by email here.

We will be happy to assist you in any way possible.