FAQ’s & Insurance

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Q. Do I need to be referred by my physician to make an appointment?

A. Most of our patients are referred by their primary care physician.  We can however see you without a referral if your insurance plan allows that. Certain insurance plans require referrals, like HMO plans for example. Please check with your insurance company to see if a referral is required.


Q.  What do I need to bring with me to my appointment?

A.  Bring your driver’s license or a photo ID and your insurance card (s).  Also, bring all your paperwork completed and arrive 30 minutes prior to your scheduled time, if you did not already turn the paperwork in.


Q.  Will I be put to sleep during the procedure?

A.  You will be given a “conscious sedation”; you will not be put completely out like you would be for a major surgery. Most of our patients are very comfortable and do not remember anything during the procedure. Everyone responds differently to medication, but our physician’s goal is to make everyone as comfortable as possible during the procedures.


Q.  How long will the procedure take?

A.  A colonoscopy can last about 20-30 minutes and an EGD can last about 15-20 minutes. We tell patients to plan on being at the hospital 1 ½ to 2 hours. You have to arrive an hour early for your procedure and then after your procedure you will go to recovery. Everyone comes out of the sedation differently.  Some people wake up right away, and others will be in recovery for about an hour.


Q. Do I need a driver with me for my procedure?

A. Yes, because of the medication given to you for the sedation, the hospital will not allow you to drive yourself home. You are not recommended to drive or work for the remainder of the day.  It is also important for you to have a driver with you so they can speak with our physician after your procedure.  He does not speak directly with you until you are seen in the office as a follow up. Since you will be out of it, he will let your driver know how the procedure went.


Q.  Will the procedure hurt?

A.  You may feel a little pressure or pain during the procedure when air is injected into your colon or if the scope is hard to get through a certain area of the colon. Most people do not remember anything because they are sedated during the procedure.  Our physician’s goal is to make everyone very comfortable during the procedure.


Q.  If the prep is making me feel nauseous, what should I do?

A.  If you are feeling nauseated, try drinking the prep slower, or take a little break from drinking it.  Walking and other activities can also help to decrease nausea.  Sometimes sucking on a mint or hard candy can help with nausea too. Some people recommend drinking the solution through a straw to help get the solution down faster. It is very important that you continue drinking the solution if possible. Without a clean bowel, the doctor will not be able to see the inside of your colon to complete the examination.  If you vomit, wait 30 minutes and then begin drinking the solution again. If you continue to have difficulty, please call our office.


Q. If I am having loose stools already and have not finished the prep solution; do I have to finish drinking it?

A.  Yes, you have to drink the entire prep solution.  You may have solid stools higher in the colon that have not passed through yet.


Q.  How long can I have clear liquids while prepping for my procedure?

A. You can continue with clear liquids all day long on your prep day, but nothing after midnight the night before.


Q.  What is considered a clear liquid?

A. Clear liquids consist of, water, flavored water, sport drinks, juices, carbonated beverages, coffee, tea, beef or chicken broth, jello, and popsicles.


Q.  I am diabetic, what do I do if my blood sugar drops while prepping for my procedure?

A. We recommend that you check your sugars more frequently on your prep day. If your sugar is low, you may have juice, regular soda or beverages that contain sugar. You can also have glucose gel or tablets to raise your blood sugar.


Q.  Can I take my morning medications the day of the procedure?

A. If you can delay your morning medications until after your procedure that would be great. If not, you can take your medications 2 hours prior to your procedure with just a little bit of water.  If you are diabetic and take an oral medication other than insulin, this does not apply to you. Please see the next question regarding diabetic medications.


Q. Can I take my insulin or oral diabetic medications the day of the procedure?

A.  If you are diabetic and take insulin, you can take ½ the dose of your insulin the night before your procedure and only ½ dose of your morning insulin the day of the procedure. If you are diabetic and take oral medications only like glucophage, do not take the medication the day of the procedure or the night before the procedure.


Q. Which Insurance Companies are you a provider with?

A. We are providers with many insurances, but not all. Here is a general list of the insurance companies that we are a provider for.  Please contact our office with any questions.  Aetna, Anthem BC/BS, Beechstreet,  Buckeye Medicaid, Caresource, Cigna, Central Reserve Life, Diocese of Toledo, Direct Care of America,  Emerald, Emerald Health Network, Employee Benefit Management, First Ohio Preferred, Flora Health Network,Frontpath, Humana, Galaxy, Kaiser Permanante, Klais, Medical Benefits, Medical Mutual, Medicare, Railroad Medicare, Tricare,  Mutual of Omaha, Northshore Administrators, Nationwide Insurance, NGS American, National Provider Network, Ohio Health Choice, Ohio Preferred Network, Primary Health Services, Path Health Network, Paramount, Self Funded Plans, Summacare, Three Rivers Provider Network, Traditional Medicaid, USA Healthplan, USA Health Network, Unicare, Wellcare.