Financial Assistance Policy
If Destin Surgery Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Destin Surgery Center may initiate contact with them to determine your cost-sharing responsibilities for Destin Surgery Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Destin Surgery Center determines that you have cost-sharing responsibilities for Destin Surgery Center’s bill, in accordance with Destin 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. Destin 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 Destin 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 Destin Surgery Center to be “charity care.” There is no formal application process for obtaining “charity care” at Destin Surgery Center. Destin 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 Destin Surgery Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Destin Surgery Center. This estimate must be provided to you within seven (7) days of the request being received by Destin 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 Destin Surgery Center at (850) 650-7606.
Itemized Bill
Upon request and after discharge from Destin 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 Destin 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 Destin Surgery Center. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Destin Surgery Center may contract with providers for pathology and anesthesiology services; these services are billed separately from Destin Surgery Center for their services. You may contact these providers through their contact information provided below.
Destin Surgery Center Providers
Anesthesia
Destin Anesthesia
PO Box 735771
Dallas, TX 75373-5771
Billing: 1-800-242-5080 (Change Healthcare)
Laboratory and Pathology
Florida Digestive Health Specialists
11505 Palmbrush Trail
Lakewood Ranch, Florida 34202
941-757-4800
Laboratory Corporation of America Holdings
5610 West LaSalle
Tampa, Florida 33607
813-289-5227
Boca Del Ray Pathology
5150 Linton Blvd. Ste 220
Delray Beach, FL 33484
Vivid Pathology
5149 N 9th Ave #122
Pensacola, FL 32504
(850) 416-7780
Patient Health Record
Upon request and after discharge from Destin Surgery Center, Destin 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.
Patient Complaint or Grievance
To report a complaint or grievance, you can contact the facility Administrator by phone at (850) 650-7606 or by mail at:
Destin Surgery Center
1225 Airport Road Destin, Florida 32541