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PATIENT
INFORMATION GUIDE
GENERAL FINANCIAL INFORMATION
Patient Financial Services (PFS)
When you
are admitted to the hospital for services, there is important
information you need to understand about the financial responsbilities
related to your stay. We hope you find this information helpful:
Pre-Registration
If your
service is scheduled in advance, we will attempt to contact
you to verify and update any incorrect data, such as address,
place of employment, insurance, etc. We will also ask that
you pay your co-pay/deductible and/or coinsurance at the time
we pre-register you.
If you
know you are coming to the hospital for service in the future
and would like to pre-register, please call 407/303-0519.
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Registration
Registration
will consist of the following:
- If
we were unable to pre-register you, we will confirm your
address, telephone number, place of employment and insurance
information.
- Verification
that pre-certification has been obtained.
- Collection
of payments not paid at time of pre-registration.
- Order
any test(s) requested by your physician.
- Obtain
your signature for Consent For Treatment, Authorization
to bill your insurance and that you understand Florida Hospital
is not responsible for any personal items.
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Valuables
Neither
Florida Hospital nor its employees accept responsibility for
the personal belongings (property) of the patient. We ask
that you leave your property with person(s) other than Florida
Hospital and it’s employees. If you do choose to keep
your property, you cannot hold Florida Hospital or its employees
responsible while it is in your possession or during any time
when it is not in your possession.
Florida
Hospital assumes NO responsibility for lost or damaged valuables.
Therefore, we ask that other than sufficient funds to meet
your co-payment/deposit requirements, you leave all other
valuables at home.
If this
is an unscheduled stay, please send ALL items home immediately
with a family member to ensure their safety. Florida Hospital
does not reimburse for lost, stolen or damaged items.
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Insurance
Your
co-pay, deductible and/or co-insurance are due at time of
service. Payments can be made by cash, debit cards, personal
check, travelers check, Western Union phone pay, EFT (Electronic
Funds Transfer) or by credit card (VISA, MasterCard, Discover
and American Express).
If we
do not have the exact amount due at time of service, we will
require a deposit. The deposit may vary, depending on the
particular type of service.
INSURANCE
NON-CONTRACTED WITH FLORIDA HOSPITAL (Refer To Your Benefit
Plan)
If your
insurance is not contracted with Florida Hospital, your financial
responsibility may be significantly higher and is due at the
time of service.
Self-Pay
Florida
Hospital, as a licensed healthcare facility in the State of
Florida, gives notice, pursuant to Chapter 395.301 Florida
Statutes, that it is required, prior to provision of non-emergency
medical services, to give its patients written, good-faith
estimates of reasonably anticipated charges for their treatment.
Estimates must be provided within seven business days after
receipt of written requests by the patients or their legal
guardians. Patients are also entitled to notification of revisions
to the estimates. Estimates may be the average charge(s) for
the anticipated procedures, and actual charges may exceed
the estimates. To obtain an estimate, please call 407-200-2294
or email your request to a PFS
Financial Counselor.
Financial
assistance may be available to patients receiving non-elective
hospital services who are not covered by any form of insurance
or governmental program. Verification of income and financial
information will be required. Please contact a Financial Counselor
for further information at 407-303-0500 or by email at: PFS
Financial Counselor.
Pre-Certification
If your
insurance requires a precert, we will attempt to obtain all
required clinical information from your physician to obtain
the authorization from your insurance company. If you have
any questions regarding precert, please let us know. If we
are unable to obtain a precert, we may need to cancel or reschedule
your service(s).
Your insurance
coverage is a contract between you and your insurance company.
Benefits will vary depending upon the type of insurance policy
you carry.
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Medicare/Medicaid
Florida
Hospital is a Medicare/Medicaid provider. Medicare and Medicaid
patients must present their current cards at the time of service.
Medicare patients are requested to pay their deductible at
the time of admission. If it not paid, supplemental is available.
Medicaid patent’s eligibility will be verified.
Medicare
patients should be prepared to pay their Inpatient deductible
at the time of admission.
“Medicare
patients, we are required by Medicare to check the diagnosis
information that your ordering physician has provided with
the specific test or procedure he/she has ordered when you
are scheduled for Outpatient services. In some cases, Medicare
will not pay for a service because they feel that the diagnosis
does not support the need for the test or service requested
by your physician.”
Please
have your insurance card(s) and proof of identification readily
available.
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Financial
Arrangements
Payments
are required at the time of service for any amount not completely
covered by your insurance. Items such as your deductible and
co-payment will be considered as deposits due at the time
of service. Estimated deposits are based on average charges
per procedure or diagnosis.
For patients
without insurance, payment of the estimated hospital bill,
less the deposit made at the time of service, is due at discharge.
If you
have financial difficulties and cannot make the full payment
at discharge, please request to see a Financial Counselor
as soon as possible. A Financial Counselor can help arrange
an alternative for payment.
Payments
by cash, check, VISA, American Express, MasterCard and Discover
are accepted. Florida Hospital also has available an electronic
funds transfer (EFT) program for those who qualify. Your Service
Representative or Financial Counselor can provide you with
additional information on the various payment options. If
payment in full for services is not received, Florida Hospital
offers a variety of payment plan options to assist our patients
in settling their accounts.
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Financial
Assistance
Financial
assistance may be available to patients receiving non-elective
hospital services who are not covered by any form of insurance
or governmental program. Verification of income and financial
information will be required. Please contact a Financial Counselor
at 407-303-0500 or by email at PFS
Financial Counselor for further information.
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Hospital
Billing
Your medical
insurance coverage is a contract between you and your commercial
insurance company. You are responsible for your hospital account.
Payment may be made by cash, personal check, MasterCard, VISA,
American Express, Discover or by electronic funds transfer
(EFT).
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Physician
Billing
You should
expect to receive a separate bill from the physician that
may assist in determining results of your service(s).
Physicians
are not employees or agents of Florida Hospital. They are
independent, private practicing physicians and may be individually
contracted with an HMO or PPO. These contracts could be different
from contracts Florida Hospital holds.
Contact
your insurance company to verify that both the Hospital and
the physician is contracted with your Insurance Provider Network.
You should expect to receive a separate bill from your physician(s)
listed below, if applicable. If you have any questions regarding
bills from them, please contact them directly.
- Emergency
Physicians will bill you for any services you may have
received in the Emergency Department.
- Radiologists
will bill you for reading any X-rays that were taken while
at the hospital.
- Consulting
Physicians may be asked by your treating physician to
review your care for any special needs. You will receive
a bill from these physicians as well. If you have any questions
about why they are billing you, please speak with your physician.
- Pathologists
will bill you for any laboratory and pathology test(s) they
have read while you were at the hospital.
- Anesthesiologists
will bill you for services received during any surgical
procedures you may have undergone while at the hospital.
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Patient eBusiness Services
The Patient
e-Business Services Site provides Florida Hospital’s
patients with secure and convenient Internet access to their
personal account information. Anyone who has been a patient
at any of the Florida Hospital campuses, FPL, FH Ambulance
Service or at any of the Centra Care locations may view their
patient account information online. Services include viewing
account list, updating guarantor and patient information and
answering patient questions.
If you
are interested in accessing this service, you must obtain
a PIN number. PIN numbers can be obtained by emailing PFS
Customer Service. Visit https://public.floridahospital.org/pfs
for more information.
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