Financial Assistance Policy
If University Surgical Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, University Surgical Center may initiate contact with them to determine your cost-sharing responsibilities for University Surgical Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If University Surgical Center determines that you have cost-sharing responsibilities for University Surgical Center’s bill, in accordance with University Surgical 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. University Surgical 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 University Surgical 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 University Surgical Center to be “charity care.” There is no formal application process for obtaining “charity care” at University Surgical Center. University Surgical 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 University Surgical Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at University Surgical Center. This estimate must be provided to you within seven (7) days of the request being received by University Surgical 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 University Surgical Center at (407) 677-0066.
Upon request and after discharge from University Surgical Center we will provide a statement within 7 working days of your request.
Services may be provided in this health care facility by University Surgical 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 University Surgical Center. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. University Surgical Center may contract with providers for pathology and anesthesiology services; these services are billed separately from University Surgical Center for their services. You may contact these providers through their contact information provided below.
University Surgical Center Providers
USAP of Florida
851 Trafalgar Ct. , Ste. 200
Maitland, FL 32751
7111 Fairway Drive, Ste. 400
Palm Beach Gardens, FL 33418
745 Orienta Ave., Ste. 1051
Altamonte Springs, FL 32751
46 Jackson Drive
Cranford, NJ 07016
5610 W Lasalle St., Tampa, FL 33607
2 Executive Blvd., Suffern
Patient Health Record
Upon request and after discharge from University Surgical Center, University Surgical 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.