Price transparency and patient billing

Price Transparency
In accordance with Florida law, Pentus Health is required to let you know that you may or may not pay less for services at another facility or in another health care setting. Please know that your attending physician may not be on the medical staff of other such facilities or other health care settings.

Provider Discloser
Furthermore, your attending physician and other health care providers not limited to but as example anesthesiologists, intraoperative monitoring services, durable medical suppliers, and anatomical pathologists may provide services to you at Pentus Health that are not a part of the facility’s fees. If any of their services are provided to you while being a patient of Pentus Health, the provider(s) will bill you separately for their services rendered.
Patients should contact the health care practitioners anticipated to provide services to them while at Pentus Health regarding a personalized estimate, billing practices, and participation with the patient’s insurance provider or health maintenance organization (HMO) as those practitioners may not participate with the same health insurers or health maintenance organizations (HMO) as Pentus Health.

 

The following providers render services to patients of Pentus Health:

• Pathology: This facility submits specimens to different pathology providers so please inquire with the facility as to which pathology provider will be used. Some pathology providers may engage specialized pathologists to assist in examining the patient’s specimen. Please contact us at 352-237-1385 for inquiries

• Laboratory: This facility submits specimens to different laboratories so please inquire with the facility to which one will be used. Some laboratories may engage other labs to assist in analyzing the patient’s specimen. Please contact us at 352-237-1385 for inquiries.

 

Accepted Insurances
Pentus Health participates with most insurance providers. Please inquire with your coordinator at 844-973-6887 to verify your insurance carrier’s status.

 

Patient Billing
If Pentus Health believes that you have health insurance and/or health maintenance organization (HMO) coverage(s) that may cover some or all of the services, Pentus Health may initiate contact with them to determine your cost-sharing responsibilities for Pentus Health’s bill. You should contact them directly as well for additional information concerning your cost-sharing responsibilities. If Pentus Health determines that you have cost- sharing responsibilities for Pentus Health’s bill, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided.

 

Good Faith Estimate
Upon your request, and before the provision of non-emergency care at Pentus Health, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Pentus Health. This estimate must be provided to you within seven (7) days of the request being received by Pentus Health. You should contact your insurer or health maintenance organization (HMO) regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling Pentus Health at 844-973-6887.

 

Why costs may vary
The cost estimates provided may be different and your actual costs may exceed the estimate for several reasons, including but not limited to:

  • If the medical services/treatment you receive based on decisions made by you or your healthcare provider are different from the services selected during this estimation process due to complications, secondary conditions, and/or other unknown factors.
  • If the location of where your services are received differs from what is selected during this estimation process.
  • If your year-to-date benefit information changes from the time at which you receive this estimate and the time at which you receive care.
  • If your healthcare provider’s contract with your insurance carrier changes.

Itemized Bill
The cost estimates provided may be different and your actual costs may exceed the estimate for several reasons, including but not limited to:

  • A description of the individual charges by date, identification of each procedure, test, medication, or therapy given, and any equipment or supplies billed.
  • A description of any additional fees, if applicable.
  • Any subsequent bill will clearly designate any changes or payments made from the last statement.

Financial Assistance
Pentus Health’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 or you are not covered by any health insurance or HMO, then upon request, Pentus Health and/or the physician may offer you a discount on the amount due. If your physician has agreed to special financial arrangements for his or her services for you to have a procedure at this facility, please contact us. Since these special financial arrangements do not apply to all patients, each patient should request individualized information particular to his or her financial situation.

 

Methods of Payment Accepted

    • We accept most insurance plans.
    • We also accept as payment cash, check, or major credit cards.
    • Payment of the balance is required before you see the Physician.

 

Charity Care
Please be advised that we do not provide charity care. Although charity care is not offered, Pentus Health offers Financial Assistance through CareCredit®.

 

CareCredit®
CareCredit® is a credit card issued exclusively for use in paying for your health care expenses.
You can apply for a CareCredit® card to cover the facility portion of your bill at participating surgical facilities.

  • To apply for a CareCredit® credit card, visit the CareCredit® website www.carecredit.com
  • Call them directly at: (800) 677-0718
  • Call your coordinator at Pentus Health if you have any questions.
  • Click here to learn more from the CareCredit® website.

Collections
Unpaid claims by an insurance company may result in the patient’s outstanding balance being fully transferred to the patient for collection. Patients are expected to complete their financial responsibility in a prompt manner. Payment of patient responsibility for a procedure is expected before the date of service. Pentus Health will make reasonable attempts to collect patient financial responsibility in a prompt manner. If any patient responsibility is considered delinquent, the account may be placed with an agency or for collection.

 

Contact
Please contact the surgical coordinator for guidance during regular business hours for assistance. Questions related to billing, financial assistance, payments, charity care policy, and collection procedures are always welcome and encouraged if they arise.

 

IF you have any questions or concerns with the center. The below is pertinent information for you:

 

Payment Bundle Resources
Information on payments made to the facility for defined bundles of services and procedures is available.
at http://pricing.floridahealthfinder.gov. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services, and actual costs will be based on services actually provided to the patient. The patient can request a personalized estimate from the center at any time before or after the procedure is performed.

 

Florida Health Price Finder
The Agency for Health Care Administration emphasizes healthcare transparency for Florida’s consumers. We have provided a link to the Florida Health Price Finder website to help you make more informed healthcare decisions. Patients may access the State of Florida’s Agency for Healthcare Administration website at this link for information about this facility: http://floridahealthfinder.gov.

 

Pentus Health
844-973-6887

 

Florida Department of Health
2585 Merchants Row Blvd.
Tallahassee, FL 32399
850-245-4444

 

Florida Regulatory Agency
Agency of Healthcare Administration (AHCA)
1-888-419-3456

 

Medicare
http://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html
Phone: 1-800-633-4227

 

Office of Civil Rights
U.S. Department of Health and Human Services,
200 Independence Ave, SW Room 509 F, HHH Building
Washington, DC 20201
http://ocrportal.hhs.gov/ocr/portal/lobby.jsf.
Phone: 1-800-368-1019, 1-800-527-7697(TDD)
Complaints forms are available at:
http://www.hhs.gov/ocr/office/file/index.html