FINANCIAL ASSISTANCE DETAILS

Our financial assistance program offers a variety of ways to reduce a patient’s financial responsibility for services rendered by the surgery center. Our program structures a balance between offering the patient a reduced financial liability while still complying with insurance contract obligations and Federal and state regulations. Please contact our surgery center’s business office for further information on our policies as reflected below. Surgeons, anesthesiologists, and other service providers (such as pathologists or laboratories) bill for their services separately from the surgery center and may offer their own financial assistance program—please contact them for further information regarding their services.

APPLICATION PROCESS

You may request the surgery center to provide details for any of the elements within the financial assistance program. Our surgery center at this time does not have an application process for any financial assistance programs.

PAYMENT PLANS

Each patient is expected to pay his/her estimated financial liability on or before the day of service. In the event a patient is unable to pay the estimated liability in full, our surgery center may offer a short term repayment schedule after a minimum down payment is made. For an extended repayment schedule, a patient may need to secure financing with an outside source. Please consult with our surgery center’s billing office for further information.

UNINSURED DISCOUNTS

Patients who are not eligible to receive services paid for by insurance or other third party payment sources may be eligible to receive an uninsured discount from our surgery center. This discount does not apply for cosmetic surgery services as defined by our surgery center. The discount is a set percentage off of charges and is subject to change. If a patient’s services are subsequently found to be covered by insurance or other third party payment source, the uninsured discount may be disallowed.

CHARITY CARE

The surgery center at this time does not have a charity care discount policy.

OUT OF NETWORK

A patient receiving treatment at our surgery center under insurance with which our surgery center is out of network may be eligible to receive an adjustment, assuming our surgery center is not prohibited from offering Out of Network adjustments under state/Federal laws or your insurance company’s provisions. If not prohibited, the application of any out of network discount is subject to vary based on a patient’s benefit coverage. Accounts which become delinquent may have the adjustment disallowed.

COLLECTION PROCEDURES

As a courtesy to our patients, we will file an insurance claim on behalf of the patient to his/her insurance plan. A patient is expected to respond to his/her insurance plan’s request for information timely, as needed, in order to minimize processing delays with the claim. If needed, the center will attempt to reach a patient by any method available to us to secure payment on the outstanding balance utilizing internal and external resources. If the account becomes delinquent, it may be placed with an attorney or agency for collection in which their fees and expenses may be the obligation of the patient. Patients are expected to pay their financial obligations in a timely manner including the estimated portion by the day services are received, and any remaining portion upon finalization of the claim by the payer. Unpaid claims by the payer may result in the account’s outstanding balance being fully transferred to the patient for collection. If needed, the surgery center will attempt to reach a patient by any method available to us to secure payment on the outstanding balance utilizing internal and external resources. If the account becomes delinquent, it may be placed with an attorney or agency for collection in which their fees and expenses may be the obligation of the patient.

OTHER PROVIDERS

Services may be provided in this surgery center by the surgery center as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as the surgery center. Patients and prospective patients may request from this surgery center and other health care providers a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in this surgery center to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.

CONTRACTED SERVICE PROVIDERS

As of July 1, 2016, the following providers render services to patients of this surgery center. Patients should contact:
Anesthesiology
Fleming Island Anesthesia
c/o Bolder Healthcare Solutions
201 Montgomery Ave
Sarasota, FL 34243
1-877-360-1566
1-877-693-8108

Pathology
Piedmont Pathology
1899 Tate Blvd SE
Suite 1105
Hickory, NC 28602
1-888-339-8147

Ameripath
8100 Chancellor Dr
Suite 130
Orlando, FL 32809
800-561-6991

Borland Groover
4675 Linton Blvd Suite 203
Delray Beach, FL 33445
561-245-4550
561-245-4560

Midflorida Pathology: CENTRAL FLORIDA LOCATION
2100 Prevatt St, Eustis, FL 32726,
352-308-8903

Quest Diagnostics
Laboratory This surgery center submits specimens to different laboratories so please inquire with the surgery center as to which one will be used. Some laboratories may engage other labs to assist in analyzing the patient’s specimen.

Transparency in Healthcare The Florida Agency for Health Care Administration (Agency) launched Florida Health Price Finder, a new health care transparency tool for consumers. The new website allows consumers and caregivers to look up the average amounts paid by Florida insurance plans for a specific service, giving them a better estimate of their total out-of-pocket expenses. The average amounts paid by insurance plans are based on billions of lines of claims data from three Florida health plans. Claims data from additional health plans are expected to be added to the database in 2018. The website lists the services as “care bundles”. A care bundle includes the steps and procedures that are part of a typical treatment plan for that specific care bundle. For example, the care bundle for Knee Replacement includes an office visit with a specialist, surgery, outpatient physical therapy/rehabilitation and follow-up visits. Since 2007, Floridians have been able to use FloridaHealthFinder.gov to look up undiscounted hospital charges, however, this is rarely the amount that individuals or insurance companies are expected to pay. Now, with this new tool, and in conjunction with working with their respective insurance plans, Floridians have the opportunity to get a much better estimate of out-of-pocket costs for specific services.