Insurance & Billing

Adjust Font Size: [ A+ ] /[ A- ]

We accept most major medical insurance plans.  Please provide us with your insurance information prior to your surgery, and we will be better able to assess your financial situation.  It can be difficult to understand co-pays, deductibles, premiums and other terminology from insurance companies.  We have staff on hand to explain your benefits. BJSC believes in pricing transparency. View a sampling of our rates here.

Payment Options

  • We accept all major credit cards.
  • Payment can be taken over the phone or questions can be answered by calling 248.662.1538.
  • We now accept online payments – PAY NOW – Click Here.
  • Care Credit is an alternative form of payment you can apply for.  More information about care credit can be found at CareCredit.

 

Your Rights and Protections Against Surprise Medical Bills

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network “describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing. “This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing“ is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Certain services at an in-network ambulatory surgical center
When you get services from an in-network ambulatory surgical center, certain
providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

The federal No Surprises Act law will govern self-funded health plans, whereas the Michigan Surprise Medical Billing law governs state-regulated health benefit plans. Accordingly, there are no laws, rules, or other legal requirements that may duplicate, overlap, or conflict with these rules.

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.

You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
  • Your health plan generally must:
    • Cover emergency services without requiring you to get approval for services in advance (prior authorization).
    • Cover emergency services by out-of-network providers.
    • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
    • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact:

The U.S. Centers for Medicare & Medicaid Services (CMS) at 1-800-MEDICARE (1-800-633-4227) or visit cms.gov/nosurprises for more information about your rights under federal law. The Department of Health and Human Services (HHS), in coordination with the Department of the Treasury, Department of Labor and the Office of Personnel management. Individuals can submit complaints regarding potential violations of the No Surprises Act. HHS will route complaints to the appropriate federal agency. Phone number for information and complaints: No Surprises Help Desk at 1-800-985-3059 from 8 a.m. to 8 p.m. EST, 7 days a week, to submit a question or complaint. Or visit: http://www.legislature.mi.gov/(S(tnxctef2rdky0thagqwbpiej))/mileg.aspx?page=getObject&objectName=mcl-368-1978-18 for more information about your rights under the Michigan Legislature- Public Health Code Act 368 of 1978 Section: 333 Article 18