Financial Assistance Policy

If Laser and Surgery Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Laser and Surgery Center may initiate contact with them to determine your cost-sharing responsibilities for Laser and Surgery Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Laser and Surgery Center determines that you have cost-sharing responsibilities for Laser and Surgery Center’s bill, in accordance with Laser and 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. Laser and 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 Laser and 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 Laser and Surgery Center to be “charity care.” There is no formal application process for obtaining “charity care” at Laser and Surgery Center. Laser and 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 Laser and Surgery Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Laser and Surgery Center. This estimate must be provided to you within seven (7) days of the request being received by Laser and 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 Laser and Surgery Center at 561-799-3388. 

Itemized Bill

Upon request and after discharge from Laser and 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 Laser and 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 Laser and Surgery Center.  You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Laser and Surgery Center may contract with providers for pathology and anesthesiology services; these services are billed separately from Laser and Surgery Center for their services.  You may contact these providers through their contact information provided below.

Laser and Surgery Center Providers

Sheridan Anesthesia
7700 W. Sunrise Blvd.
Plantation, FL 33322
800-248-1639

Gastrocare Pathology, LLC
3001 Coral Hills Drive, Suite 250
Coral Springs, FL 33065
954-752-1011

Ameripath
8100 Chancellor Drive, Suite 130
Orlando, FL 32809
800-561-6991

Quest
800-697-8378

Lab Corp
800-877-5227

Miraca Life Sciences
6622 N. MacArthur Blvd.
Irving, TX 75039
214-277-8700

Morgan Dermpath Labs
801 Maplewood DRive, Suite 5
Jupiter, FL 33458
561-691-8233

South Florida Gastroenterology Associates, P.A.
5150 Linton Blvd. Suite 250
Delray Beach, FL. 33484
561-638-7577

Broward Medical Lab/United Medical Lab.
181 W. Prospect Road
Oakland Park, FL 33309
954-739-7764

Patient Health Record

Upon request and after discharge from Laser and Surgery Center, Laser and 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.

www.Floridahealthfinder.gov

Patient Complaint or Grievance

To report a complaint or grievance, you can contact the facility Administrator by phone at 561-799-3388 or by mail at:
Laser and Surgery Center
3602 Kyoto Gardens Drive Palm Beach Gardens, Florida 33410