Insurance & Billing
Florida Price Transparency & Estimate of Costs
In accordance with Price Transparency and Patient Billing per 395.301, FS you can find service bundle information on the Agency for HealthCare Administration’s pricing website here. A non-personalized estimate of costs may be incurred for anticipated services. Non-personalized means that it is not specific to the patient, actual costs will be based on services actually provided at the time of the procedure.
All patients (or prospective patients) have the right to request a personalized estimate of costs for the procedures and services performed at Santa Fe Surgery Center. To obtain a personalized estimate of your financial responsibility for your planned surgery center visit, please contact the Business Office at 352-561-4950 (Monday through Friday 8am to 4:30pm).
Please keep in mind that the physicians and healthcare practitioners providing surgical services at Santa Fe Surgery Center may not accept the same insurance plans as Santa Fe Surgery Center and may bill separately. All patients should contact the healthcare providers that may provide services regarding a personalized cost estimate, billing practices, and participation with a patient’s health insurer or HMO.
Billing, Payment, and Assistance Policies
Santa Fe Surgery Center has policies established regarding billing, payment, collection, and financial assistance. Please contact the facility prior to your scheduled procedure to make financial arrangements and address any questions you may have regarding your procedure. Our staff will also help you finalize your financial/payment arrangements prior to surgery.
Santa Fe Surgery Center follows a financial assistance program that strives to reduce the patient’s financial responsibility for services provided at SFSC. The facility is responsible for following and complying with insurance contract obligations and federal and state regulations, however, we believe our program provides a variety of options to reduce the patient’s financial liability.
The facility and its offsite central billing office are always available as resources for the patient pre-procedure for assistance. Please contact the facility directly for guidance at 352-561-4950 during regular business hours for assistance. Questions related to financial assistance, payment plans, charity care policy, and collection procedures are always welcomed and encouraged if they arise. Certain service providers (such as Anesthesiologists, pathologists, or laboratories) may 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.
Financial Assistance Application Process
The patient may request the facility to provide details regarding the financial assistance program. If interested, you will be required to complete an application for financial hardship assistance that provides us information about your income and expenses. This will allow us to access your needs and qualifications to determine qualification of available assistance. Financial assistance will not be provided to those eligible for any program coverage (examples include Medicaid, disability coverage, COBRA, etc.). Santa Fe Surgery follows the most recent poverty guidelines set by the U.S. Department of Health and Human Services.
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Payment Plans
Patients are expected to pay their estimated financial liability on or before the day of the procedure. In the event a patient is unable to pay the estimated liability in full, our surgery center may, but is not obligated to, offer a short-term repayment schedule after a minimum down payment is made. For an extended repayment schedule, a patient will need to secure financing with an outside source. Please contact us for further information.
Discounts
Patients who are ineligible to receive services paid for by insurance or other third-party payment sources may be authorized to receive an uninsured discount from our facility. This discount is not applicable for cosmetic surgery services as defined by Santa Fe Surgery Center. The discount is a set percentage based off of charges and is subject to change. If the services scheduled or provided are subsequently found to be covered by insurance or other third-party payment sources, the uninsured discount may be disallowed.
Collection Procedures
As a courtesy to our patients, Santa Fe Surgery will file an insurance claim on behalf of the patient to his/her insurance plan. The patient is expected to respond to his/her insurance plan’s request for information timely, if necessary, in order to minimize claims processing delays.
Patients are expected to comply with their financial obligations in a timely manner including paying the estimated portion by the day services are received, and any remaining portion upon finalization of the claim by the payer. Further, patients are expected to remit any payments made directly to them (as opposed to the facility directly) from out of network insurers.
The facility will attempt to reach a patient by any method available to us to secure payment on any outstanding balance utilizing internal and external resources. If the account becomes delinquent, it may be placed with a collection’s agency or attorney for collection. In that case, the patient may also become liable for all costs and fees expended on collection attempts.
Providers
Please see the list of providers associated with Santa Fe Surgery Center here. The patient and the their provider(s) are responsible to elect and determine which services, diagnostics, and planned procedures will be authorized to perform based on their intended payment plan and policies.
Contracted Service Providers
As of August 2021, the following providers render services to patients of this surgery center and will bill patients separately.
Anesthesia Provider Group:
Santa Fe Anesthesia Management, LLC
352-561-4950
When calling to inquire about your procedure, you may also inquire regarding estimated anesthesia costs. Please contact our office for these inquiries.
Laboratory Services:
Quest Diagnostics
www.Questdiagnostics.com
(866) 697-8378
UF Health Alliance Labs
www.thevillagesregionalhospital.org
(352) 751-8906