Financial Assistance Policy
If Florida Orthopaedic Institute Surgery Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Florida Orthopaedic Institute Surgery Center may initiate contact with them to determine your cost-sharing responsibilities for Florida Orthopaedic Institute Surgery Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Florida Orthopaedic Institute Surgery Center determines that you have cost-sharing responsibilities for Florida Orthopaedic Institute Surgery Center’s bill, in accordance with Florida Orthopaedic Institute Surgery Center’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided. Florida Orthopaedic Institute Surgery Center’s financial assistance policies are that if you are unable to pay your cost-sharing responsibilities in full on or before the date that Services are provided, because you believe you are medically indigent or you are not covered by any health insurance or HMO, then upon request Florida Orthopaedic Institute Surgery Center, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by Florida Orthopaedic Institute Surgery Center to be “charity care.” There is no formal application process for obtaining “charity care” at Florida Orthopaedic Institute Surgery Center. Florida Orthopaedic Institute Surgery Center’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.
Good Faith Estimate
Upon your request, and before the provision of non-emergency care at Florida Orthopaedic Institute Surgery Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Florida Orthopaedic Institute Surgery Center. This estimate must be provided to you within seven (7) days of the request being received by Florida Orthopaedic Institute Surgery 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 Florida Orthopaedic Institute Surgery Center at FACILITY PHONE.
Itemized Bill
Upon request and after discharge from Florida Orthopaedic Institute Surgery Center we will provide a statement within 7 working days of your request.
Provider Disclosure
Services may be provided in this health care facility by Florida Orthopaedic Institute Surgery Center 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 Florida Orthopaedic Institute Surgery Center. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Florida Orthopaedic Institute Surgery Center may contract with providers for pathology and anesthesiology services; these services are billed separately from Florida Orthopaedic Institute Surgery Center for their services. You may contact these providers through their contact information provided below.
Florida Orthopaedic Institute Surgery Center Providers
Florida Orthopaedic Institute – Attending Physicians, Surgical Assistants, Physician Assistants, and Nurse Practitioners
13020 Telecom Parkway North
Temple Terrace, FL 33637
Phone: 813-978-9700
Florida Orthopaedic Institute – Durable Medical Equipment
13020 Telecom Parkway North
Temple Terrace, FL 33637
Phone: 813-978-9700
Millenium – Durable Medical Equipment Sales
233 W. 14th Street
Panama City, FL 32401
Phone: 850-215-7961
Advanced Medical Resources (AMR)- Neuromonitoring
1449 Hwy 6 #30
Sugar Land, TX 77478
Phone: 281-768-6730
Quest Diagnostics – Laboratory Services
4225 East Fowler Ave
Tampa, FL 33617
Phone: 813-972-7100
TEAMHealth – Anesthesiology Physicians and Nurse Anesthetist
3231 North Star Circle
Louisville, TN 37777
Phone: 1-877-307-4554
(Formally known as Florida Gulf to Bay Anesthesia)
Mid Florida Pathology
2100 Prevatt Street
Eustis, Florida 32726
Email: [email protected]
Phone: (352) 308-8903
Upon request and after discharge from Florida Orthopaedic Institute Surgery Center, Florida Orthopaedic Institute Surgery Center will make available the patient record that may be necessary for verification of the accuracy of your patient statement within 10 working days of your request.
Link to Healthcare Related Data
Pursuant to AHCA Statute: s.405.05,F.S. please find here a link to data, quality measures, and statistics that are disseminated by AHCA.
Patient Complaint or Grievance
To report a complaint or grievance, you can contact the facility Administrator by phone at FACILITY PHONE or by mail at:
Florida Orthopaedic Institute Surgery Center - Temple Terrace
Administrator
13060 N Telecom Parkway
Temple Terrace, FL 33637
813-615-8872
Florida Orthopaedic Institute Surgery Center – Citrus Park
Administrator
6119 Gunn Highway
Tampa, FL 33625
813-615-8872
Florida Orthopaedic Institute Surgery Center – Cypress
Administrator
5016 W Cypress Street Suite 100
Tampa, FL 33607
813-615-8846