Medical Insurance Accepted + Self-Pay by a Colorectal Surgeon in South Florida

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Health Insurance Plans Accepted by Colorectal MD.   Enter your insurance name below to see if we’re commonly in-network with your plan.

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Medical Health Insurance Plans Accepted

Colorectal Surgeon Accepting Insurance in South Florida

Complete the form or call our South Florida office at (954) 388-0860.

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PATIENT QUESTIONS

Insurance & Self-Pay Frequently Asked Questions

Understanding insurance before seeing a surgeon can be confusing. The Colorectal MD team helps patients across Broward County and South Florida verify insurance benefits, understand referral or authorization requirements, and prepare for their appointment with Dr. Astha Bhatt.

Astha Bhatt, MD, a colorectal surgeon at Colorectal MD LLC in Broward County, Florida, is accepting government insurance policies from the US, Canada, and other countries subjected to verification by our office. Medicare, Medicaid, Workers Compensation, Campus, and all other major insurance carrier, medical insurance plans, and health care plans are also accepted. Medicare, Medicaid, Workers Compensation, and all indemnity insurance plans (conventional major medical) are accepted. A number of managed health organizations (HMOs or PPOs) are contracted with by the health system and its physicians.

Because coverage depends on your individual insurance plan, network, deductible, and the services you need, we recommend verifying your benefits before your consultation or procedure.

Colorectal MD participates with many major commercial insurance plans, Medicare, Medicaid-related plans, Medicare Advantage plans, and other health networks.

 

Plans commonly accepted may include Florida Blue/Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, Medicare, Molina Healthcare, Oscar Health, AvMed, CarePlus, Preferred Care Partners, Sunshine Health, Simply Healthcare, Tricare, Wellcare, Multiplan/PHCS, and others.

 

Insurance networks can change and individual products from the same insurance company may have different networks. Please contact our office before your appointment so we can verify your specific plan.

Call our office at (954) 388-0860 or email us at [email protected] and provide the insurance company name, member ID, group number, date of birth, and a copy of the front and back of your insurance card.

 

Our team can review your insurance information and help determine whether Dr. Bhatt participates with your plan and whether a referral or prior authorization may be needed.

 

Insurance verification helps clarify your benefits, but it is not a guarantee that an insurance company will pay for every service.

It depends on your insurance plan.

Many PPO and commercial insurance plans allow patients to schedule directly with a colorectal surgeon or general surgeon. Some HMO, Medicare Advantage, Medicaid managed-care, and other plans may require a referral from your primary care physician before the specialist appointment.

If you are unsure, our office can help you identify your plan’s requirements before scheduling your consultation.

Our clinic  accepts Medicare and participates with selected Medicare Advantage plans.

 

Medicare Advantage networks vary considerably between insurance companies and even between plans offered by the same company. Some plans may also require a referral or prior authorization before a specialist visit, procedure, or surgery.

 

Please provide your Medicare and supplemental or Medicare Advantage insurance information so our team can verify your specific coverage before your visit.

Colorectal MD participates with many Florida Blue and Blue Cross Blue Shield plans.

However, Florida Blue offers multiple PPO, HMO, employer-sponsored, Medicare, and Marketplace products, and participation may differ between networks.

If you are looking for a colorectal surgeon or general surgeon who accepts Florida Blue in Broward County, contact our office with your exact plan information. Our team can verify participation before your appointment.

Prior authorization means your insurance company requires clinical information and approval before certain services are performed.

Authorization may be required for some surgeries, diagnostic studies, imaging, medications, hospital services, or outpatient procedures.

If authorization is required for your planned treatment, our team can work with the appropriate insurance company, hospital, surgery center, and referring physician to help coordinate the necessary documentation.

Authorization does not necessarily mean that all costs will be paid by your insurance plan.

 

Prior authorization means your insurance company requires clinical information and approval before certain services are performed.

 

Authorization may be required for some surgeries, diagnostic studies, imaging, medications, hospital services, or outpatient procedures.

 

If authorization is required for your planned treatment, our team can work with the appropriate insurance company, hospital, surgery center, and referring physician to help coordinate the necessary documentation.

 

Authorization does not necessarily mean that all costs will be paid by your insurance plan.

Please bring your photo ID, insurance card, medication list, referral if required, and any records related to your colorectal or general surgery concern. Helpful records may include colonoscopy reports, pathology results, CT scans, MRI reports, ultrasound results, operative reports, lab results, and recent hospital records.

These details help Dr. Astha Bhatt review your condition more completely, make the right diagnosis, and create a personalized treatment plan. Patients from Fort Lauderdale, Pompano Beach, Coral Springs, Plantation, Davie, Tamarac, Deerfield Beach, Boca Raton, and nearby Broward County and South Florida areas are welcome to call the office before the visit if they are unsure which records are needed.

 

Insurance coverage is generally based on the medically necessary surgical procedure rather than simply whether a robotic, laparoscopic, or open approach is used.

 

Dr. Bhatt determines the appropriate surgical approach based on your diagnosis, anatomy, medical history, previous operations, and other clinical factors.

 

For procedures requiring prior authorization, our office and the surgical facility can help submit the required clinical information to your insurance company. Final coverage decisions remain with your insurance plan.

The amount your health insurance covers for surgery depends on your individual plan and the specific procedure being performed. Several factors can affect your final out-of-pocket cost:

  • Your insurance benefits: Your deductible, copay, coinsurance, and annual out-of-pocket maximum determine how costs are shared between you and your insurance company.
  • Type of surgery: Coverage and costs vary depending on whether you need an office-based procedure, outpatient surgery, or hospital-based operation.
  • In-network vs. out-of-network care: Using an in-network surgeon and surgical facility generally results in lower out-of-pocket costs than receiving care outside your plan’s network.
  • Prior authorization: Some colorectal and general surgery procedures require approval from your insurance company before treatment.
  • Facility and professional fees: Your surgeon, hospital or surgery center, anesthesia provider, pathology laboratory, and other specialists may bill separately.

Before surgery, the Colorectal MD team can help verify your insurance benefits and determine whether a referral or prior authorization is required. Because every insurance plan is different, your insurance carrier can provide the most accurate estimate of your deductible, coinsurance, and expected patient responsibility.

Yes. Colorectal MD accepts self-pay patients, including individuals who are uninsured or whose insurance does not cover a specific service.

 

For eligible patients, our team can also help connect you with independent third-party financing options that may allow qualified medical expenses to be paid over time. Financing availability, approval, interest rates, and repayment terms are determined by the third-party financing provider.

 

If you are uninsured or considering self-pay care, contact our office before your appointment. We can help explain expected physician charges, available payment options, and whether third-party financing may be appropriate for your situation.

 

We welcome self-pay and uninsured patients throughout Broward County and South Florida, including Fort Lauderdale, Pompano Beach, Deerfield Beach, Coral Springs, Coconut Creek, Parkland, Plantation, Davie, Weston, Hollywood, and surrounding communities.

Still have questions about insurance or self-pay? Call (954) 388-0860

Questions About Insurance? We’re Here to Help

Our team can help verify your insurance coverage, answer questions about benefits, referrals, and self-pay options, and help you schedule your visit with Dr. Astha Bhatt.