Billing

FINANCIAL ARRANGEMENTS

We like to inform our patients of their financial obligations prior to surgery, so there are no surprises and/or misunderstandings.

Please contact the Center 352-688-6393 prior to surgery for financial arrangements. You, your surgeon and/or your insurance company have the right to request, in advance, an estimate or pre-authorization for your surgery. Our staff will help you finalize your financial arrangements before your surgery.

The fee for the use of the Center includes routine equipment and supplies, pre-operative services; routine drugs administered while in the Center, procedure room time and recovery room services.

The fee DOES NOT include the cost for the professional services of your physician, extraordinary supplies or anesthesiologist.

Most outpatient surgical procedures are covered by standard medical insurance. Patients will be asked for a partial payment depending on your plans copay, deductible, or out of pocket expense the day of your scheduled procedure at the Center.

Full payment is required at the time of admittance for non-covered procedures and for patients who do not have medical insurance. However, the Center recognizes its obligation to remain flexible in financial matters. We require all payment arrangements be made prior to surgery. As a courtesy to our patients, we accept Visa, MasterCard, American Express, Discover Card, debit cards and Care Credit.

The benefit information provided prior to the delivery of care is considered to be only an estimate. Once your insurance company has been billed for services, there may be an additional balance due which is your responsibility. You will be billed for any additional fees that may be listed a patient responsibility by your carrier and prompt payment is expected.

You may be charged a fee if you fail to cancel your appointment 24 hour in advance-

BILLING INFORMATION

Mariner Surgery Center accepts many insurance plans and will obtain any authorizations and work with your surgeon to make sure your carrier has pre-certification or authorization prior to your procedure. Mariner Surgery Center also accepts Medicare, Champ VA, Workers Compensation, and various forms of Commercial Insurance plans with out of network benefits.

OUT OF NETWORK

A patient receiving treatment at the center under insurance with which our facility is out of network with, 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 that become delinquent may have the adjustment disallowed.

SERVICE BUNDLE

A service bundle means the reasonable expected center services and care provided to a patient for a specific treatment , procedure, or diagnosis as posted on the Florida Agency for Health Care Administration’s website. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services. Actual costs will be based on services actually provided to the patient. Patients may find information regarding service bundles in Florida at www.pricing.floridahealthfinder.gov

FINANCIAL ASSISTANCE POLICY

Financial Assistance Policy/Charity Care
Our financial assistance program offers ways to reduce a patient’s financial responsibility for services rendered by the center. 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. Upon request for financial assistance the patient must provide the request prior to surgery and the center will make payment arrangements with the patient for assistance-

COLLECTION PROCEDURES

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 of 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 center will attempt to reach the patient by any method available to us to secure a payment on the outstanding balance. If the account becomes delinquent, it may be placed in a collection agency where the fees and the expenses become the obligation of the patient.

CONTRACTED SERIVCE PEOVIDERS

The following providers render services to patients at the surgery center. Patients should contact:

Anesthesiology
Marjorie Medina
Sunshine Anesthesia
PO BOX 10390
Brooksville, FL 34603
352-688-6393

USEFUL LINKS

Patients may access the State of Florida’s Agency for Healthcare Administration website at this link for general information: www.ahca.myflorida.com

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