PLEASE NOTE: These policies do not necessarily apply to every patient. In order to fully understand if or how these policies may apply to you, please contact the BioSpine Institute directly.
Services may be provided in this health care facility by the facility 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 facility.
- BioSpine Institute / Gulfcoast Spine / Avion Anesthesia: 4211 W. Boy Scout Blvd., Suite 400, Tampa, FL 33609
- Dr. James Ronzo, D.O.
- Dr. Frank Bono, D.O.
- Dr. Roderick Claybrooks, M.D.
- Dr. Reginald J. Davis, M.D.
- Avion Anesthesia
- Todd Williams, P.A.
- Justin Lyon, P.A.
- Durable Medical Equipment (In many cases this provider is determined by the patient’s insurance company)
- Home Health Care Provider (In many cases this provider is determined by the patient’s insurance company)
- CarePath DX: 3110 Cherry Palm Drive, Ste 340 Tampa, FL 33619
Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in the ASC to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider. We must respond to you in 7 days. Our estimate is based on the procedure that our physician plans to perform, it is possible that the procedure our physician performs may differ from the planned, this is based on your current medical condition at the time of the procedure.
If you require financial assistance or payment plan, please contact the provider to discuss possible options. We will require you to complete an application for approval of a financial assistance program. We follow the most recent poverty guidelines set by the U.S. Department of Health and Human Services.
Quality measures and statistics disseminated by AHCA can be found at www.FloridaHealthFinder.gov/CompareCare/SelectChoice.aspx
At Biospine, we strive to provide compassionate care, and do our best to ensure that our patients have the opportunity to afford and pay for services rendered, by reviewing patient responsibilities and offering a wide array of options for payment.
Prior to your scheduled procedure, our Insurance Coordinator will personally meet and review your benefits and inform you of any amount that will be due prior to your surgery such as copay, coinsurance, and deductible.
Payment for services will be expected to be paid at the pre-operative appointment.
If you need special consideration in your abilities to pay for your surgery, you must contact us prior to your scheduled surgical date so that we can evaluate and see if you qualify for payment plan, or for our financial hardship program. This evaluation will be based upon your house hold income and if you do not qualify based on the federal poverty guidelines (income must be less than four times the federal poverty guideline), you may still be eligible for a monthly payment plan, or for financing through Care Credit.
While we strive to be as accurate as possible, we will notify you should the amount collected be less than your insurance applies to you responsibility, and will expect that any additional monies due will be paid within 45 days. Failure to pay you responsibilities in timely manner, default of an agreed upon payment plan, and cancellation of any payment made will result in your account being placed without third party collection agency and will affect your credit score.
Should any of your services be denied by your insurance, we will notify you upon receipt of the denial and will work with you to either arrange payment or appeal to your insurance carrier.
If you have notified us that you are uninsured and intend to pay cash, you may be eligible to receive a prompt pay discount. If the procedure performed differs from the original scheduled procedure you may be responsible for additional fees. Any prompt pay discount offered must be paid in full prior to your scheduled procedure or the discount will not apply and you may be responsible for the full amount billed.
Any money paid directly from your insurance for our services to you should be forwarded to us immediately to avoid billing of the full balance to you. Failure to surrender monies paid directly to you will result in the full balance of charges being referred to our third party collections agency.