Please contact your insurance company and ask whether or not Central Florida Health is in your network. Payments of co-pays, co-insurances and/or deductibles are expected at the time of your appointment. We will file a claim to your insurance for the remaining balance as a courtesy. Once we receive notice that your claim has been processed, we will send you a statement of any balance that is due. If your insurance does not respond directly to us within an appropriate time frame, you will receive a statement showing the full amount due.
Each insurance company has the right to determine their payment amount, which is sometimes called “usual and customary.” We do not accept usual and customary allowances as determined by private insurances as payment in full. These balances will be your responsibility. We will provide any additional documentation, when appropriate, to help process your claim for maximum benefit.
Central Florida Health does offer an uninsured discount for covered services. This discount will be automatically applied to your charges. We also offer prompt pay discounts for non-covered services. To determine if you are eligible for this discount, please contact Customer Services at (352) 323-5090 or (866) 935-9823.
Under the Central Florida Health Financial Assistance Policy, financial assistance is available to eligible patients who are in need as defined by the Policy. Eligibility is based, among other factors, upon family income and number of family members in the household. If you think you may be eligible for financial assistance, you may request an application by calling (352) 323-5040. Installment payment plans are also available for those who qualify. This policy does not apply to non-Central Florida Health service providers who bill independently.
If you provided insurance information at the time of registration, please review your statement to determine if a payment or adjustment was made based on your insurance coverage. If a payment or adjustment was made, the remaining balance is your responsibility and may include coinsurance, deductible or other non-covered services. To make a payment, please click on the link below.
Payment should be sent to the address in the remit to section of your statement. For your convenience, a return envelope has been enclosed or you may choose to pay online by logging in to your online account and pay using Visa, Mastercard, American Express or by eCheck. You can also pay over the phone by calling toll-free (866) 935-9823.
Many insurance policies have a deductible, co-pay, or coinsurance amount. Sometimes certain charges are not covered under particular policies. This may be the case with your carrier. To confirm your responsibility under your policy, if any, you can call your insurance company directly or call the telephone number listed on your billing statement for further information.
You can request an itemized bill online via email firstname.lastname@example.org or by contacting Customer Service at (352) 323-5090 or (866) 935-9823. If requesting itemized bill via phone, please be prepared to provide the following information, patient name, patient date of birth, patient account number and facility name that provided service.
Customer Service Representative will be happy to assist you with any problems or concerns that you have regarding your bill. You can speak to a live representative Monday – Friday from 8:00 am to 5:00 pm. by calling (352) 323-5090 or (866) 935-9823. You may also contact us via email at email@example.com. Please reference your account number in the subject line.
You may receive bills from other healthcare professionals that are not employed by Central Florida Health Alliance. These may include your doctor, anesthesiologists, radiologists or pathologists. Each physician who participated in your care will bill you separately for service provided. Questions concerning these bills should be directed to that provider’s billing office.
After your insurance receives and processes your claim you will receive an Explanation of Benefits (EOB) explaining how your claim was handled. The EOB will show amount of payment, patient responsibility and/or denials. If there is a patient responsibility due, we will send you a statement.
Upon admission, if you have medical insurance, you may be asked to pay a deductible or copay depending upon your insurance plan. If you do not have health care coverage, you will be asked to pay the full amount of your estimated charges at the time of service. If you cannot afford to make the payment in full, you will be asked to speak to one of our Financial Counselors to establish a payment plan.
Contact your insurance company directly. Be sure to note the representative you have spoken to. If an error has been made, request the insurance company provide you a timeframe of when the correct payment will be received. If your insurance indicated the bill was paid correctly, request information on how to appeal the decision. An appeal will allow the payment to be reconsidered, however this is not a guarantee payment will be made.
In cases of emergency, go to the nearest emergency room. Your insurance will generally cover the ER costs or will transfer you to an in-network hospital once you are stable. For outpatient services, you may be required to pay a larger out of pocket portion on your bill. To be sure, contact your insurance company directly to discuss.
When paying your bill online you will need to know the Guarantor’s date of birth and social security number. If you are not sure who the Guarantor is on the account, you will find this information in the Account Summary section of your statement.
Generally, the oral and topical prescriptions and over-the-counter drugs you get in an outpatient setting like an emergency department, outpatient department, or the clinical decision unit are identified as “self-administered drugs” by Medicare and aren’t covered by Medicare Part B. If you have Medicare Part D prescription drug coverage, these drugs may be covered under certain circumstances. You will likely need to pay out-of-pocket for these drugs and submit a claim to your drug plan for reimbursement. Call your Medicare Part D plan provider for more information. A Community Hospital is not a Medicare Part D provider and cannot submit a claim for payment. “My doctor told me that I was admitted and I stayed one or more nights in the hospital.” Being “admitted” does not necessarily mean you met Medicare inpatient criteria, as set forth in the federal Medicare regulations. Even though you may have stayed one or more nights in the hospital, this date of service did not meet inpatient level of care standards, as defined by Medicare.