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.
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.
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.
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.
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.
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.
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:
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 Clinic 4675 Linton Blvd Suite 203 Delray Beach, FL 33445 561-245-4550 561-245-4560 This surgery center submits specimens to different pathology providers so please inquire with the surgery center as to which pathology provider will be used. Some pathology providers may engage specialized pathologists to assist in examining the patient’s specimen. 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.