general surgeon peoria il

Office/Appointment Info

Patient Guide


Mid Illini Surgical Associates sees patients by appointment only. To better serve our patients, a reminder phone call will be placed a few days prior to your appointment.  

Rescheduling  and Canceling Appointments

If you need to reschedule or cancel your appointment for any reason, please notify our office as soon as possible.  Call:  (309) 672-5975    

Emergency: After Hours

A MISA physician is on call everyday after hours.  In the event of an emergency after office hours, our answering service will assist you in contacting the on call physician.  Call:  (309) 672-5975

MISA Patient Privacy Notice 2013

Click here to see MISA Patient Privacy Notice


1. Park in the Atrium Street Level Lot located on Globe.  Valet parking is also available under the Atrium Canopy.  All parking services are free.

2. Bring a current list of all medications including doses and frequency taken.  Please include all over the counter medications taken as well.

3. Bring a Picture Identification Card

4. Bring your Health Insurance Card - be familiar with the benefits of your plan and what hospital(s) you can use.

5. Be prepared to pay co-payment. 

6. Uninsured patients - a $125 "partial payment" towards the cost of services will be expected at the time of your office visit. 

Mid Illini Surgical Associates accepts cash, check and credit/debit cards.  

If you are unable to meet these requirements your appointment could be affected.  Please call our office and make payment arrangements PRIOR to your scheduled appointment.

Please call our office with any questions 
(309) 672-5975


Mid Illini Surgical Associates participates in most major insurance programs and will bill your insurance carrier for you after services are rendered.  As an additional courtesy to you, we will assist with completing prior authorization and pre-certifications with your primary insurance company during your visit. 

MiSA participates in the following major insurance plans:

  • Blue Cross Blue Shield of Illinois
  • Cigna
  • First Choice
  • Health Alliance
  • Health Plus
  • Humana
  • Medicare
  • PHCS
  • UMR
  • United Health Care
  • United HealthCare of the River Valley

If your carrier is not listed, please contact your insurance company to confirm that MiSA is a participating provider.

Mid Illini Surgical Associates collects co-payments at the time of service.

Your Responsibilities include:

  1. Know your co-payment amount
  2. Know Pre-Authorization requirements for tests and/or surgery
  3. Know the hospital(s) that you can use for services
  4. Ensure that we have your most current insurance information

Your health is important to us and we want you to receive the maximum benefits from your insurance plan.  We do our best to stay up to date with  plans, policies, and procedures, but ultimately it is the patient's responsiblity for knowing their individual plan, coverage and requirements. It is the patient's responsibility for co-pays, deductibles and any balance not covered by insurance.


Mid Illini Surgical Associates will submit a payment claim for services received to the patient's insurance company as a courtesy.  It is the patient's responsibility for co-pays, deductibles and any balance not covered by insurance.  Patients will receive statements for any balance due on their account once their insurance carrier has processed submitted claims.

* It is the patient's responsibility to provide all accurate and current information regarding insurance and be aware of the benefits & coverage of the insurance plan.  Inaccurate information may affect the insurance carrier's payment for services received.

Uninsured patients are responsible for making a partial payment for their first office visit.   Further payment arrangements will be discussed with you by our billing department for office visit balances and any other services that may be needed.

Payment arrangements that are NOT made may result in the rescheduling or canceling of your appointment until payments can be successfully arranged.

 If you have any questions regarding payments or billing, please contact our billing/insurance department at
(309) 672-5975

Patient Forms

Click Here to Download the Available Patient Forms.

Fill these out and bring them with you to your first appointment!