PATIENT FINANCIAL POLICY

This financial policy encompasses the following “provider entities”. Each of these providers will be submitting claims to your insurance company independently.

GULF COAST ORTHOPEDIC CENTER 
PROFESSIONAL FEES (CLINIC, RADIOLOGY AND PHYSICIAN’S)

MEDICAL DEVELOPMENT CORPORATION
FACILITY FEES (OPERATING ROOM)

AMERICAN MEDICAL CARE, INC.
(ANESTHESIA FEES) 

The practice of medicine is not an exact science and the medical treatment prescribed is done with the best of intentions and consistent with the highest standards applicable to the profession. There is no guarantee or promise as to the result that may be obtained. Payment of your medical bills is not contingent on outcome and payment is your responsibility once treatment is rendered regardless of such outcome.

The three companies listed above will submit your medical claims to your insurance company. None of the three companies listed above participate with any health insurance or managed care plans such as HMO, PPO or POS plans. Your insurance policy is a contract between you and your insurance company. None of the three companies listed above is a party to that contract. Insurance companies will not guarantee payment of claims. Not all services are covered in all contracts. Some insurance companies select certain services they will cover based on your individual plan coverage. Pre-operative services such as your chest x-ray, EKG and lab work may not be covered by your insurance policy. If your insurance company does not pay, then you are ultimately responsible for payment.

You will be billed separately for your lab work & pathology services. You must contact this provider directly regarding their charges.

OUTSIDE LAB:            PHYSICIANS STAT LABORATORIES     PHONE # (727) 817-1102

We accept VISA, MASTERCARD, DISCOVER AMERICAN EXPRESS and CARE CREDIT as well as personal checks and debit cards.

If your insurance company denies coverage on a particular service, you will be responsible to pay for that service directly. Patients without insurance are required to pay the bill in full prior to the service being rendered. Any charges quoted to you are estimates. When treatment is completed actual charges will be generated.

You may request a personalized estimate of reasonably anticipated charges for the treatment of your specific condition. You may contact your health insurer or HMO for additional information concerning your share of costs (e.g. Deductibles, co-pays or out of pocket expenses). You will receive monthly statements from each entity listed above which will reflect your charges and payments.

If you have any questions regarding your statements, this financial policy, or have any uncertainty regarding your insurance coverage, please feel free to contact the business office at (800) 330-4262. We will be happy to answer any questions that you may have.