Patient Resources

Before You Come: Getting Ready for Your Visit

• Your provider will discuss the procedure details and provide instructions.
• You’ll receive a call to confirm personal information.
• Standard fees cover most services; additional fees may apply for surgeons and anesthesiologist.
• Surgical consent form must be signed before treatment.
• Minors require parental consent.
• Stay accompanied by a responsible adult post-surgery.
• Avoid smoking 24 hours before/after surgery.

The Night Before Surgery: Preparing for your procedure

• No food/drink after midnight.
• Consult your provider for instructions on certain medications.
• Inform provider of pregnancy possibility.
• Report any health changes or exposure to diseases.
• Avoid alcohol 24 hours before surgery.

Morning of Surgery: Ready for your Procedure

• No food/drink after midnight.
• Consult your provider for instructions on certain medications.
• Inform provider of pregnancy possibility.
• Report any health changes or exposure to diseases.
• Avoid alcohol 24 hours before surgery.
• Children are encouraged to bring a favorite stuffed toy.

• Do not drive, sign important papers or make critical decisions for at least 24 hours.
• Do not operate machinery, power tools, etc. for at least 24 hours.
• Do not drink alcoholic beverages for at least 24 hours.
• A representative of the Center will contact you after surgery to inquire about your condition.
• Your provider will provide you with post-operative instructions regarding diet, rest and medication. In the event of any difficulties or complications, call your provider immediately.

At LECOM Ambulatory Surgery Center, we uphold the dignity and respect of every individual we serve. We adhere to all applicable federal, civil rights laws, ensuring non-discrimination based on various factors such as age, race, color, religion, sex, national origin, handicap, disability, or source of payment and any other protected characteristic under federal, state, or local law. At the time of admission, LECOM Ambulatory Surgery Center shall inform each individual of their rights and responsibilities. Copies of  the patient’s rights and responsibilities are provided upon request, and can be downloaded below.

Download Patient Rights & Responsibilities

At LECOM ASC, we’re here to help guide you through the process and ensure that you receive the maximum benefits available to you. Our billing team can assist you with verifying your coverage, understanding any out-of-pocket expenses, and coordinating with your insurance provider to facilitate a smooth billing process.

Questions About Your Insurance Coverage?

• If you have any questions regarding your insurance coverage or need assistance with understanding your benefits, please don’t hesitate to reach out to our friendly and knowledgeable billing team. We’re here to provide you with the information and support you need to make informed decisions about your healthcare.
• For insurance-related inquiries, please contact us at: 814-315-4520
• Our billing team is available during regular business hours to assist you with any insurance-related questions or concerns you may have.

LECOM ASC is proud to be contracted with a wide range of insurance providers to ensure that our patients have access to the quality care they deserve. Some of the insurance plans we are contracted with include:

1. Jefferson Health Plan
2. AmeriHealth
3. Geisinger Health Plan
4. Highmark Blue Shield
5. Independence Blue Cross
6. PA Health & Wellness
7. Aetna
8. UHC
9. Cigna
10. Tricare
11. Humana
12. Medicaid
13. UPMC

This list is not exhaustive, and we may be contracted with additional insurance providers. If you don’t see your insurance plan listed here, please contact our billing team for further assistance.

For your convenience, we offer an easy and secure online billing portal where you can view and manage your bills from LECOM ASC. To access our billing portal and make a payment, please click the link below:

LECOM ASC Billing Portal

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:

• Emergency services

If you have an emergency medical condition and get emergency services from an out-of- network provider or facility, the most the provider or facility may bill you is your plan’s in- network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

• Certain services at an in-network hospital or ambulatory surgical center

When you get services from an in-network hospital or 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.

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.

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. Contact the Pennsylvania Insurance Department at www.insurance.pa.gov/nosurprises or by phone at 1-877-881-6388 or TTY/TDD: 717-783-3898 if you have difficulty finding 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 Pennsylvania Insurance Department at www.insurance.pa.gov/nosurprises or by phone at 1-877-881-6388 or TTY/TDD: 717-783-3898.

Visit www.insurance.pa.gov/nosurprises for more information about your rights under federal and state law. You may also visit https://www.cms.gov/nosurprises for information from the federal government.

Download the “Understanding the No Surprise Act” Guide 

5202 PEACH STREET ERIE, PA 16509

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