ADVANCED OUTPATIENT PROCEDURES

863-577-0296

Financial Assistance

Our financial assistance program offers a variety of ways to reduce a patient’s financial responsibility for services rendered by the facility. 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.

Aetna Better Health
AETNA Commercial
AETNA Medicare Advantage
Ambetter
Avmed
BCBS Commercial
BCBS Medicare
Careplus IF OON PCP referral and I obtain LOA
CIGNA
CIGNA (BAYCARE MCARE ADVANTAGE HMO)
CIGNA Healthspring MCR Advantage
Coventry All Lines
Devoted Health Medicare Advantage
Evolutions Commercial
First Health
Freedom/Optimum
Galaxy Health Network
Humana Commercial
Humana Medicaid
Humana Medicare Advantage
Mail Handlers Plan
Medicaid
Medicare
Molina Marketplace
Molina Medicare
Orlando Health Plans {Disney}
Prime Health Services
Simply Better Health
Simply Clear Health Alliance
Simply Medicaid
Simply Medicare Advabntage
Staywell Medicaid
Sunshine Allwell Medicare Advantage
Sunshine Halthy Kids
Sunshine Medicaid
TriCare (All Plans} PRIME Requires Auth
TriWest VA Auth Required Sched 1 week out
UMR
UHC Commercial
UHC Medicaid {Community Plan/Dual Plan}
UHC Medicare
Wellcare Medicare Advantage
Wellmed
Careplus With OON Auth and LOA

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 facility 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 business 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 facility. 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.

A patient receiving treatment at our facility under insurance with which our facility is out of network may be eligible to receive an adjustment to their assigned out of network patient liability, assuming our facility 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.

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 institute 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 health care facility by the facility 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 facility.

Patients and prospective patients may request from this facility 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 facility to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.

Patients may access the State of Florida’s Agency for Healthcare Administration website at this link for information about this facility: www.floridahealthfinder.gov

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