Patient Rights

Reliable Patient Price Estimation

PATIENT PRICE ESTIMATE REQUEST INFORMATION:

Upon your request, and before the provision of non-emergency care at Blue Water Surgery Center you can receive a good faith estimate of anticipated charges for the treatment of your condition at the center. This estimate will be provided to you within seven (7) days of the request being received by the center.

You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling our business office at (772) 873-6700 ext. 2005.

In the case of financial hardship there may be ways to reduce a patient’s financial responsibility for services rendered by the surgery center.

Please contact our facility’s business office at (772) 873-6700 ext. 2005 for further information on our policies.

All patients who are scheduled for a procedure receive a Financial Advance Notice form during their preoperative visit. This form is an estimating of what we expect your insurance to pay as well as any out of pocket amounts you would owe.

Information on payments made to the facility for defined service bundles and procedures, you can visit the Agency for Healthcare Administration’s pricing website 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.

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 center will attempt to reach a patient by any method available to us to secure payment on the outstanding balance utilizing internal and external resources.

Beyond us contacting your insurance carrier, you should also contact your insurer or health maintenance organization regarding your cost-sharing responsibilities for having a procedure at our facility- Blue Water Surgery Center.

Our financial assistance program offers a variety of ways to reduce a patient’s financial responsibility for services rendered by the surgery 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. Please contact our facility’s business office for further information on our policies as reflected below.

Surgeons, anesthesiologists, and other service providers (such as pathologists or laboratories) 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.

You may request the facility to provide details for any of the elements within the financial assistance program. Certain policies have an application process requiring the patient to submit additional financial and household information to determine qualification of the available assistance.

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 surgery center 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 surgery center’s business office at (772) 873-6700 ext. 2005 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. This discount does not apply for cosmetic surgery services as defined by 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.

The center maintains a charity discount policy which provides financial relief to patients who receive medically necessary care and who do not qualify for state or Federal assistance and are unable to pay the estimated or remaining financial responsibility in part or in full.

A patient must meet the policy’s household income qualifications which are based on Federal Poverty Level Guidelines (revised annually). Submission of supporting documentation is required to validate a patient’s qualifying status.

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.

Services are 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. Again, we encourage you to contact your insurer or health maintenance organization regarding your cost-sharing responsibilities for having a procedure at our 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 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.

The following providers render services to patients at Blue Water Surgery Center and the patients should contact them directly if they need further information.

Gastroenterology:

Dr. Pramod Joseph

2215 Nebraska Ave.
Suite 1A
Fort Pierce, FL 34950
(772) 567-6161

Dr. Prasad Korlipara

1331 N. Lawnwood Cr.
Fort Pierce, FL 34950
(772) 489-5900

Oculoplastics:

Dr. William Vickers

Gulfstream Eye
555 NW Lake Whitney Pl.
Suite 105
Port St. Lucie, FL 34986
(772) 448-4865

Orthopedics/Pain Management:

Global Neuro & Spine Institute

4243 NW Federal Hwy
Jensen Beach, FL 34957
(800) 735-1178

Dr. Harold Allen

Dr. Ali Malik

Dr. Michael Slobasky

Dr. Sidney Swartz

Otolaryngology:

Associated Coastal ENT Physicians PA

4632 S. 25th St.
Fort Pierce, FL 34981
(772) 464-9595

Dr. Richard Allen

Dr. Michele Richards

Dr. Christopher Slack

Dr. Daniel Zaluzec

1801 SE Hillmoor Dr.
C 110
Port St. Lucie, FL 34952
(772) 337-0072

Podiatry:

Dr. Andrew Lonabaugh

Treasure Coast Podiatry
2296 SE Federal Hwy
Port St. Lucie, FL 34952
(772) 286-9912

Dr. Craig Paul

1700 SE Hillmoor Dr.
Suite 301
Port St. Lucie, FL 34952

Pulmonology:

Dr. Mark Pamer

573 NW Lake Whitney Pl.
Suite 105
Port St. Lucie, FL 34986
(772) 785-5864

Plastic Surgery:

Lee Plastic Surgery & Laser Center

Dr. Spencer Lee

525 NW Lake Whitney Pl.
Port St. Lucie, FL 34986
(772) 878-8885

Urology:

Dr. Allen Seeger

Accredited Medical Providers, LLC

451 SW Bethany Dr.
Suite 201
Port St. Lucie, FL 34896

Dr. Michael Solomon

555 NW Lake Whitney Pl.
Suite 103
Port St. Lucie, FL 34986

Anesthesia:

Contact Blue Water Surgery Center directly

(772) 873-6700

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