Financial Information

Patients have the right to request a complete written estimate of the anticipated charges, and the associated financial responsibility. The fee quoted is an estimate only. Please call the surgical center to obtain a written estimate at (561) 332-3766.

Physician Discount Matching

Should a physician request financial assistance for their patient, the physician must supply a letter stating they are also giving the patient a discount and what percentage they will be offering. The letter will be forwarded to the CNO for approval. Once approved, the balance will be adjusted considering the discount. This discount may be granted for estimated out of pocket amounts prior to service or for the remaining balance.

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Patient Requests

If a patient requests financial assistance prior to service, they will be required to complete a financial assistance form. The form will include why the assistance is needed and how much of a discount will be offered. The form will be forwarded to the CNO for approval. Once approved, the patient's estimated out of pocket amount will be recalculated considering the discount percentage.

If the patient contacts the billing office after receiving their bill, the billing office will forward a copy of the financial assistance form to the patient to be completed. Once received, the form will be forwarded to the CNO for approval. Once approved, the system balance will be adjusted based on the agreed upon discount, and the patient will be notified of their new balance.

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Financial Assistance, Charity Care & Collections

Financial assistance is available to patients in need. Patients may request assistance by contacting our business office to request our financial assistance form. The form will include why the assistance is needed and how much of a discount will be offered. Once approved, the out of pocket amount will be recalculated considering the discount percentage.

Patient out of pocket amounts will be collected at time of service prior to the service being performed. This amount is an estimate and may change depending on the patient’s benefit levels. Any remaining amount will be billed to the patient after insurance has processed the patient’s claim. Patients will be given the opportunity to make payment arrangements if they are unable to satisfy their remaining balance in full.

CareCredit

CareCredit® is a credit card issued exclusively for use in paying for your health care expenses. You can apply for a CareCredit® card to cover the facility portion of your bill at participating surgical facilities.

• Depending on the cost of your procedure and the options offered at your surgical facility, you may choose between 6 and 12 month special financing options on qualifying purchases of $200 or more. *
• To apply for a CareCredit® credit card, visit the CareCredit® website www.carecredit.com
• ‍Call them directly at: (800) 677-0718
• Call your surgical facility if you have any questions.
• Click here to learn more from the CareCredit® website.

*Subject to credit approval. Minimum monthly payments required. See provider for details.