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.

90 DEGREES BENEFITS PLAN
AETNA COVENTRY MEDICARE [ALL LINES]
AETNA COMMERCIALPPO/HMO 
AETNA BETTER HEALTH/HEALTHY KIDS 
AETNA MEDICARE SOLUTIONS HMO/PPO
ALLEGIANCE DISNEY PLANS VIA CIGNA
AMBETTER MARKETPLACE {STARTS WITH U}
AUTO (ALL)
AVMED
BAYCARE COMMERCIAL NETWORK {IMAGING ONLY w/BAYCARE PCP REFERRAL ON FILE}
BAYCARE PLUS COMPLETE {MCR ADVANTAGE PLAN} 
BCBS COMMERCIAL PPO/HMO/FEDERAL and ALL OUT OF STATE BCBS PLANS
BCBS MARKETPLACE MyBlue VMYH Prefix 
BCBS MEDICARE PPO/HMO
CAREPLUS 
CHAMP VA
CHILDRENS MEDICAL SERVICE OPERATED BY SUNSHINE HEALTH MCD
CIGNA HMO/PPO/EPO/POS
CLEAR HEALTH ALLIANCE via SIMPLY
DEVOTED MEDICARE ADVANTAGE PLAN 
EVOLUTIONS
FIRST HEALTH
FLORIDA HEALTH SOLUTIONS
FLORIDA KID CARE VIA SIMPLY 
FREEDOM/OPTIMUM/MEDICARE HMO
GALAXY HEALTH
GOLDEN RULE
GREAT WEST VIA CIGNA [ALL PLANS]
GREEN IMAGING
GEHA
HEALTHSCOPE
HERITAGE/LUCENT SOLUTIONS JAIL & COMMERCIAL PLANS
HUMANA COMMERCIAL PPO
HUMANA COMMERCIAL HMO 
HUMANA MEDICAID 
HUMANA MEDICARE PPO
HUMANA MEDICARE HMO
IBA/ INSURANCE BENEFIT ADMINISTRATORS
IMAGINE 360
KIS IMAGING VOUCHER – SCHEDULED WITH KIS FOR VOUCHER
MAILHANDLERS
MEDICAID FULL
MEDICAID SHARE OF COST [IF NOT MET PT TO PAY SELFPAY RATES FOR ALL SVC]
MEDICARE TRADITIONAL & RAILROAD
MERITAIN HEALTH COMMERCIAL PLANS VIA AETNA
MOLINA MARKETPLACE
MULTIPLAN
PHCS
POLK HEALTHCARE INDIGENT COMMUNITY PLAN VIA MERITAIN PRIME HEALTH SERVICES – WORK COMP
PRIORITY HEALTH COMMERCIAL/MCR ADVANTAGE
SIMPLY MEDICAID AND MEDICARE
SOUTHCARE
SUNSHINE /FLORIDA HEALTHY KIDS MEDICAID
SUNSHINE HEALTH MEDICAID 
SUPPLEMENTAL PLANS-SECONDARY TO MEDICARE ALL PLANS ACCEPTED
TRICARE PRIME/PCP AUTH REQUIRED, SELECT AND STANDARD
ULTIMATE MEDICAL MCR ADVANTAGE [DO NOT SCHEDULE YET – 11.19.24 CONTRACT LOAD NOT COMPLETE YET]
UMR
UNITED HEALTH CARE COMMUNITY PLAN (MCD)
UNITED HEALTH CARE COMMERCIAL PPO/HMO PLANS
UNITED HEALTH CARE SHARED SERVICES
UNITED HEALTH CARE ALLSAVERS
UNITED HEALTH CARE SUREST
UNITED HEALTHCARE DUAL COMPLETE PLAN/DSNP
UNITED HEALTHCARE MEDICAID {CHIP/CHILDRENS HEALTH INS PLAN}
UNITED HEALTHCARE AARP MEDICARE COMPLETE PPO/HMO/FOCUS
UNITED HEALTHCARE STUDENT SERVICES
US HEALTH GROUP
VACCN OPTUM/ VETERANS ADMINI {AUTH REQUIRED BY VA TO SCHEDULE}
WECARE OF CENTRAL FLORIDA [VOUCHER PROGRAM]
WELLCARE MEDICARE ADVANTAGE
WELLMED UHC MEDICARE ADVANTAGE 
WORKERS COMP [ALL PLANS WITH PRIOR AUTHORIZATION REQUIRED FROM ADJUSTER]
ALL PPO PLANS WITH OUT OF NETWORK BENEFITS AVAILABLE

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