Financial Assistance Policy
If The Surgery Center at Jensen Beach believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, The Surgery Center at Jensen Beach may initiate contact with them to determine your cost-sharing responsibilities for The Surgery Center at Jensen Beach’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If The Surgery Center at Jensen Beach determines that you have cost-sharing responsibilities for The Surgery Center at Jensen Beach’s bill, in accordance with The Surgery Center at Jensen Beach’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. The Surgery Center at Jensen Beach’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 The Surgery Center at Jensen Beach, 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 The Surgery Center at Jensen Beach to be “charity care.” There is no formal application process for obtaining “charity care” at The Surgery Center at Jensen Beach. The Surgery Center at Jensen Beach’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 The Surgery Center at Jensen Beach, you can receive a good faith estimate of anticipated charges for the treatment of your condition at The Surgery Center at Jensen Beach. This estimate must be provided to you within seven (7) days of the request being received by The Surgery Center at Jensen Beach. 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 The Surgery Center at Jensen Beach at 772-497-0020.
Itemized Bill
Upon request and after discharge from The Surgery Center at Jensen Beach we will provide a statement within 7 working days of your request.
Provider Disclosure
Services may be provided in this health care facility by The Surgery Center at Jensen Beach 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 The Surgery Center at Jensen Beach. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. The Surgery Center at Jensen Beach may contract with providers for pathology and anesthesiology services; these services are billed separately from The Surgery Center at Jensen Beach for their services. You may contact these providers through their contact information provided below.
The Surgery Center at Jensen Beach 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
Miraca Life Sciences
6622 N. Macarthur Blvd.
Irving, TX 75039
214-277-8700
Integrated Regional Laboratories
5361 NW 33rd Avenue
Fort Lauderdale, FL 33309
800-522-0232
Morgan DermPath Labs
4095 Burns Road
Palm Beach Gardens, FL 33410
561-691-8233
QDX Pathology Services
46 Jackson Dr
Cranford, NJ 07016
(866) 909-7284
Patient Health Record
Upon request and after discharge from The Surgery Center at Jensen Beach, The Surgery Center at Jensen Beach 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.
Patient Complaint or Grievance
To report a complaint or grievance, you can contact the facility Administrator by phone at 772-497-0020 or by mail at:
The Surgery Center at Jensen Beach
3995 NW Goldenrod Road Jensen Beach, Florida 34957