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An out-of-pocket amount a patient must pay each year before their insurance company begins paying for covered services. Depending on the details of your insurance plan, a covered service may be applied toward your deductible.

A fixed amount that is the patient's responsibility, typically due at the time of service. Whether a co-pay applies depends on the patient's individual insurance plan.

A percentage of the cost that is the patient's responsibility after the insurance company processes its portion. For example, with 20% co-insurance, the patient is responsible for 20% of the allowed cost, while the insurance company covers the remaining 80%, subject to the terms of the plan.

An endoscopy is an important component of patient care, treatment, and diagnosis. This procedure allows your physician to examine areas of the ear, nose, and throat to help identify or rule out certain conditions and determine the appropriate course of treatment. When medically necessary, endoscopy helps your ENT physician provide an appropriate level of care.

Depending on your individual insurance policy and carrier, these procedures may be classified as "surgery," even when the procedure code describes a diagnostic service. Your insurance company may apply an in-network deductible or co-insurance. An endoscopy is billed separately from your office visit. If your deductible or co-insurance applies, you may be responsible for the amount allowed by your insurer.

No. Endoscopy is not performed on every patient. If an endoscopy was performed during your visit, your ENT physician determined that it was medically necessary based on your health concerns and symptoms.

Even when insurance covers a procedure, your individual policy may require you to pay a portion of the cost through a deductible or co-insurance. ENTA offers payment plans to help patients manage out-of-pocket expenses. Please contact our Billing Department to discuss available options or request a call from a Billing Operations Specialist.

No. Diagnostic procedures may be necessary to evaluate symptoms, identify potential conditions, or rule out certain diagnoses, even when the results are normal.

The care provided by our physicians is based on the medical indications and needs presented during each visit. The amount a patient owes is determined by their individual insurance coverage and the processing of their claim. Your physician's priority is to determine the appropriate care based on your medical needs.