The Ambulatory Surgery Center of Utah works with major insurers to provide access to our facilities to as many individuals as possible. We strongly encourage you to consult with your health insurer to verify your coverage and benefits for any service provided at our Surgery Center. It is important for you to know your insurance plan and how much of your deductible you have met. Your out-of-pocket responsibility will vary based on your individual insurance plan and deductible.
Before receiving services, contact your health insurance company to verify your personal benefits, plan limitations, and referral and/or pre-authorization requirements, and in- or out-of-network status.
Please be aware that your insurance plan may allow you to go out-of-network with proper authorization. If your insurance provider or plan is out-of-network with the Ambulatory Surgery Center of Utah, contact your clinic to find out if an out-of-network authorization can be obtained.
IN NETWORK PLANS
BLUECROSS BLUE SHIELD
• PARTICIPATING NETWORK
• PREFERRED VALUECARE
• INDIVIDUAL AND FAMILY NETWORK
• REAL VALUE
• REGENCE MEDICARE ADVANTAGE PPO
• BLUE CARD PLAN WITH “BLANK SUITECASE” LOGO
• BLUE CARD PLAN WITH “PPO SUITECASE” LOGO
• BLUE CARD MEDICARE ADVANTAGE PLAN WITH “MA SUITECASE” LOGO
• ANTHEM WITH “PPO SUITECASE” LOGO
• FEDERAL BLUE CROSS BLUE SHIELD
BRIDGESPAN (MARKETPLACE)
HUMANA MEDICARE: 5/1/2024
MEDICARE PART B
PEHP
• SUMMIT
• CAPITAL
• EXCLUSIVE Is Summit Exclusive
• PREFERRED
TRICARE
• SELECT
• RESERVE SELECT STANDARD
• TRICARE FOR LIFE
• YOUNG ADULT SELECT
• TRICARE PRIME / DEPENDANTS ONLY
ALL WORKERS’ COMPENSATION / EXCEPT LABORERS
Out-of-Network Options
If your insurance plan includes out-of-network benefits, here’s what you need to know:
While we may be out of your insurance network, you may still receive care with us if your plan includes strong out-of-network benefits. Please provide us with details of your out-of-network cases, and we will verify your benefits for you. You will be treated as if you are an in-network patient, meaning you will only be responsible for the same costs as you would be if you visited an in-network provider.
Additionally, you will only need to pay 50% of your estimated out-of-pocket expenses upfront. We offer flexible payment plans for the remaining balance to make it easier for you to manage your healthcare costs.
PATIENTS WITH OON BENEFIT PLANS MAY INCLUDE:
• AETNA – 90% have been able to come to the center.
• CIGNA
• DMBA – 100% has OON benefits.
• EMI
• GEHA
• HEALTH EZ
• MOTIVE HEALTH
• SELECT MED PLUS
• SELECT VALUE PLUS
• SELECT CARE PLUS
