Billing Information

FloridaHealthFinder.gov

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

Information about payments made to Longleaf Surgery Center, Inc. for defined bundles of services and procedures is available at http://pricing.floridahealthfinder.gov/. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services, and actual costs will be based on services actually provided to the patient.

To learn more about the Price Transparency, Patient Billing and rule 59A-5 click here


Right to Request an Estimate

Patients and prospective patients have the right to request a personalized estimate from Longleaf Surgery Center, Inc. by calling 727.372.0600.

Other Providers

Services may be provided in Longleaf Surgery Center, Inc. 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, such as billing practices. 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.

Contract Providers

Services may be provided in the healthcare facility as well as by other health care providers who may separately bill the patient and that such health care providers may or may not participate with the same health insurers or HMO’s as the facility. Patients may contact these health care practitioners, regarding a personalized estimate, billing practices, and participation.

Infinity DME 7601 N Federal Hwy #140B, Boca Raton, FL 33487 (561) 279-2776
Prestige Anesthesia 1500 Gateway Blvd., Suite 220, Boynton Beach, FL 33426 561.228.1945, ext. 206
SpecialtyCare 3100 West End Ave. Suite 800 Nashville, TN 37203 1.800.348.4565
LabCorp PO Box 2240 Burlington, NC 27216-2240 1.800.845.6167
DJO Global 1430 Decision Street Vista, CA 92081 1.800.336.6569

Contracted insurance providers:

Longleaf Surgery Center accepts all forms of United States, Canadian, and other foreign government insurance. Longleaf Surgery Center also accepts Medicare, Champus, Workers Compensation, and ALL forms of Commercial Insurance plans with out of network benefits

Medicare https://www.cms.gov/medicare/medicare.html

Freedom https://www.freedomhealth.com/

Optimum https://www.youroptimumhealthcare.com

BCBS https://www.bcbs.com

Humana https://www.humana.com

Aetna www.aetna.com

Out of Network

A patient receiving treatment at our surgery center 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.

To request an estimate, please call Longleaf Surgery Center 727.372.0600.


Financial Assistance Policy

Patient financial assistance, application process, payment plans, discounts, charity care, & collection procedures policy:

PURPOSE: To inform patients and prospective patients of the surgery center’s policies regarding financial assistance, application process, payments plans, discounts, charity care, and collections procedures

POLICY: Patients may contact Longleaf Surgery Center directly to determine whether they qualify for financial assistance.
Longleaf Surgery Center, 727­-372-0600.

PROCEDURE: If a patient has health insurance/coverage that may cover some or all of the services provided, the surgery center may initiate contact with the third­party organization to determine patient cost­sharing responsibilities. The patient may contact his or her insurance company directly for additional information concerning cost­sharing responsibilities. If the surgery center determines the patient has cost­sharing responsibilities for the surgery center’s bill, the patient will be required to pay cost­sharing responsibilities in full on or before services are provided.

If the patient is unable to pay cost­sharing responsibilities in full on or before services are provided because the patient qualifies as medically indigent, or is not covered by health insurance, upon request, the surgery center, in its sole discretion, may offer financial assistance in the form of a discount on the amount due and/or offer a payment plan. The patient must contact the surgery center at least 5 days before the date of service to confirm this procedure applies to them.

If a balance is due from the patient/patient guarantor after services are rendered, Longleaf Surgery Center’s standard collection procedure is to produce and send one or more bills to patients for their cost-sharing amounts, which if not paid on a timely basis, may then be placed with an attorney or collection agency to pursue such unpaid amounts. If accounts are placed with an attorney and/or collection agency, the costs charged by the attorney and/or collection agency will be passed onto the patient to pay, and the patients’ credit score may be negatively.


Financing available through:

Credit Care


 

Disclosure of Ownership:

Your physician may have a financial interest in Longleaf Surgery Center, Inc.


Section 1557 of the Patient Protection and Affordable Care Act

Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). The law prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs or activities. Section 1557 builds on long-standing and familiar Federal civil rights laws: Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975.

To read the Summary of the Final Rule, select your language below: