GOOD FAITH ESTIMATE

Upon your request, and before the provision of non-emergency care at Minimally Invasive Surgicenter, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Minimally Invasive Surgicenter. This estimate must be provided to you within two (2) days of the request being received by Minimally Invasive Surgicenter. 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 Minimally Invasive Surgicenter at 561-774-2647.

ITEMIZED BILL

Upon request and after discharge from Minimally Invasive Surgicenter we will provide a statement within 7 working days of your request.

PROVIDER DISCLOSURE

Services may be provided in this health care facility by Minimally Invasive Surgicenter 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 Minimally Invasive Surgicenter.  You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Minimally Invasive Surgicenter may contract with providers for pathology, provider fee and anesthesiology services; these services are billed separately from Minimally Invasive Surgicenter for their services.  You may contact these providers through their contact information provided below.

FINANCIAL RESPONSIBILITY

It is expected that deductibles, co-payments, and other amounts not covered by insurance will be paid prior to services being provided. Accepted forms of payment include personal check and credit card. Payment may be made over the phone prior to your procedure or at check in at Minimally Invasive Surgicenter. If you have questions at any time, let us know.

QUESTIONS ABOUT YOUR BILL

After you’re discharged, a statement will be mailed to you for any balance due after your insurance company has processed your claim. Payment is due upon receipt and may be made by personal check or credit card. When you receive your statement, please contact the phone number printed on your statement.

Our facility accepts most major commercial insurance, HMO/PPO plans, Medicare and other government sponsored health coverage.  Please contact us if you have any questions regarding your insurance coverage.