
Here to Help
AdventHealth requires that payment be made at the time of service for any amount not covered by insurance. Insurance deductibles and co-payments will be considered as deposits and are due at the time of service.
For those without insurance, the total estimated hospital bill less any initial deposits made, is due upon discharge. If you are unable to make the full payment at discharge, you can ask to see a financial counselor as soon as possible who can review alternate payment options with you, including a payment plan. Payments can be in cash, check, debit card or credit card. Electronic funds transfers are also available.
It is important to understand what medical services are covered by your insurance policy. We encourage patients to confirm with their insurance provider if AdventHealth's services are covered by their policies, and how much of their bill they will be responsible for.
Our Billing Services and Information
- Pay Your Bill
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We are happy to provide convenient online bill payment for services at AdventHealth locations.
Choose a location to proceed:
Outpatient Rehabilitation Centers
AdventHealth Central Division Outpatient Rehabilitation Centers
i. If your date of service was prior to March 1, 2018, Click Here
ii. If your date of service was on or after March 1, 2018 Click Here
Hospitals
- AdventHealth Altamonte
- AdventHealth Apopka
- AdventHealth Carrollwood
- AdventHealth Celebration
- AdventHealth Central Texas
- AdventHealth Connerton
- AdventHealth Dade City
- AdventHealth Daytona Beach
- AdventHealth DeLand
- AdventHealth Durand
- AdventHealth East Orlando
- AdventHealth Fish Memorial
- AdventHealth for Children
- AdventHealth Gordon
- AdventHealth Hendersonville
- AdventHealth Kissimmee
- AdventHealth Lake Placid
- AdventHealth Lenexa
- AdventHealth Manchester
- AdventHealth Murray
- AdventHealth New Smyrna Beach
- AdventHealth North Pinellas
- AdventHealth Ocala
- AdventHealth Orlando
- AdventHealth Ottawa
- AdventHealth Palm Coast
- AdventHealth Rollins Brook
- AdventHealth Sebring
- AdventHealth Shawnee Mission
- AdventHealth South Overland Park
- AdventHealth Tampa
- AdventHealth Waterman
- AdventHealth Wauchula
- AdventHealth Wesley Chapel
- AdventHealth Winter Garden
- AdventHealth Winter Park
- AdventHealth Zephyrhills
Laboratories
Urgent Care
- Who to Contact
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Do you have billing questions or need further assistance?
To speak with someone about your bill, or to pay over the phone, you can give one of our Patient Financial Services departments a call at one of the numbers below.
AdventHealth Altamonte Call407-303-0500 AdventHealth Apopka Call407-303-0500 AdventHealth Carrollwood Call813-615-7848 AdventHealth Celebration
Call407-303-0500 AdventHealth Central Texas Call254-519-8476 AdventHealth Connerton Call813-615-7848 AdventHealth Dade City Call813-615-7848 AdventHealth Daytona Beach Call888-676-2219 AdventHealth DeLand Call888-676-2219 AdventHealth Durand Call913-676-7558 AdventHealth East Orlando Call407-303-0500 AdventHealth Fish Memorial Call888-676-2219 AdventHealth for Children Call407-303-0500 AdventHealth for Women Call407-303-0500 AdventHealth Gordon Call800-347-5281 AdventHealth Hendersonville Call800-347-5281 AdventHealth Kissimmee Call407-303-0500 AdventHealth Lake Placid Call863-386-7177 AdventHealth Lenexa Call913-676-7558 AdventHealth Manchester Call800-347-5281 AdventHealth Murray Call800-347-5281 AdventHealth New Smyrna Call888-676-2219 AdventHealth North Pinellas Call813-615-7848 AdventHealth Ocala Call813-615-7848 AdventHealth Orlando Call407-303-0500 AdventHealth Palm Coast Call888-676-2219 AdventHealth Rollins Brook Call254-519-8476 AdventHealth Sebring Call863-386-7177 AdventHealth Shawnee Mission Call913-676-7558 AdventHealth South Overland Park Call913-676-7558 AdventHealth Tampa Call813-615-7848 AdventHealth Waterman Call352-253-3311 AdventHealth Wauchula Call863-386-7177 AdventHealth Wesley Chapel Call813-615-7848 AdventHealth Winter Garden Call407-303-0500 AdventHealth Winter Park Call407-303-0500 AdventHealth Zephyrhills Call813-783-6102 - Price Estimates
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At AdventHealth we recognize you have a choice when it comes to your health care. We are pleased to offer price estimates through our Patient Financial Services department for prospective patients, to bring better clarity and understanding to your health care investment in advance of services.
Click on the AdventHealth campus where you will receive your treatment and complete the Estimate Request Online Form. If you have insurance, you will need to have your insurance card available. A written or verbal estimate will be provided to you within two business days.
- AdventHealth Altamonte
- AdventHealth Apopka
- AdventHealth Carrollwood
- AdventHealth Celebration
- AdventHealth Central Texas
- AdventHealth Connerton
- AdventHealth Dade City
- AdventHealth Daytona Beach
- AdventHealth DeLand
- AdventHealth Durand
- AdventHealth East Orlando
- AdventHealth Fish Memorial
- AdventHealth for Children
- AdventHealth Gordon
- AdventHealth Hendersonville
- AdventHealth Kissimmee
- AdventHealth Lake Placid
- AdventHealth Lenexa
- AdventHealth Manchester
- AdventHealth Murray
- AdventHealth New Smyrna Beach
- AdventHealth North Pinellas
- AdventHealth Ocala
- AdventHealth Orlando
- AdventHealth Palm Coast
- AdventHealth Rollins Brook
- AdventHealth Sebring
- AdventHealth Shawnee Mission
- AdventHealth South Overland Park
- AdventHealth Tampa
- AdventHealth Waterman
- AdventHealth Wauchula
- AdventHealth Wesley Chapel
- AdventHealth Winter Garden
- AdventHealth Winter Park
- AdventHealth Zephyrhills
While the price estimator is a helpful tool that can estimate your health care costs based on anticipated services, please know that it is not an exact, personalized cost figure. More accurate costs are based on the actual services provided to you.
We want to make it as easy as possible for our patients to make an informed decision about their health care. Reference these links provided by the Agency for Health Care Administration to find resources for Florida residents: Florida Health Finder and Florida Health Price Finder. Service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services. Actual costs will be based on services actually provided to the patient.
You can also contact Billing and Patient Financial Services by phone using our contact list. You will need to have your insurance card available (if you have insurance) and be prepared to answer the following questions when you call.
Questions to Ask your Doctor Prior to Requesting an Estimate
- What is the exact name of the procedure(s)?
- Ask the doctor to clearly print the name of the procedure. Correct spelling is important and many surgery names sound similar.
- What is the CPT code for the procedure(s)?
- Ask the doctor for this information. CPT codes are the billing codes that are used by providers usually for physician services. If you do not have this please be sure to have the exact name of the procedure.
- What ICD-10 diagnosis code(s) will be used?
- Ask the doctor for this information. The International Classification of Diseases codes identify your health condition and allows healthcare professionals anywhere in the country to have a shared understanding of conditions.
- What is the doctor's name that ordered the procedure(s)?
- Be sure to have the doctor's first and last name. For surgical procedures please be sure to provide the surgeon's name.
- Will you be staying overnight?
- Ask the doctor if you will be admitted to the hospital as an inpatient overnight or if you are expected to be treated on an outpatient basis.
- What hospital location are you considering?
- Financial Assistance
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As members of AdventHealth, our faith-based hospitals are committed to excellence in providing quality health care while serving the diverse needs of those living in our area. Financial assistance may be available to patients receiving non-elective (emergent) hospital services who are not covered by any form of insurance or government program. Verification of income and financial information is required.
Please click on the link "Calculation of Amount Owed for Financial Assistance Eligible Individuals" for an explanation of how your uninsured discount is calculated.
Calculation of Amount Owed for Financial Assistance Eligible Individuals
Click here for the following documents: Summary of our Financial Assistance Policy; Financial Assistance Application; and Financial Assistance Policy.
You may also talk with a hospital representative for additional assistance and information using the contact information below.
AdventHealth Altamonte Springs
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Altamonte Springs Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Apopka
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Apopka Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Carrollwood
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Carrollwood Addendum Physician Financial Assistance
Patient Financial Services
PO Box 861372
Orlando, FL 32886-1372
Phone: Call813-615-7848
Fax: Call813-615-8182AdventHealth Celebration
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Celebration Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Central Texas
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Central Texas Addendum Physician Financial Assistance
Patient Financial Services
2201 S. Clear Creek Road
Killeen, TX 76549
Phone: Call254-519-8476
Fax: Call254-519-8488AdventHealth Connerton
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Connerton Addendum Physician Financial Assistance
Patient Financial Services
PO Box 861372
Orlando, FL 32886-1372
Phone: Call813-615-7848
Fax: Call813-615-8182AdventHealth Dade City
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Dade City Addendum Physician Financial Assistance
Patient Financial Services
PO Box 865667
Orlando, FL 32886-5667
Phone: Call813-615-7848
Fax: Call813-615-8182AdventHealth Daytona Beach
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Daytona Addendum Physician Financial Assistance
Patient Financial Services
770 West Granada Blvd Ste 203
Ormond Beach, FL 32174
Phone: Call888-676-2219
Fax: Call386-676-2560AdventHealth DeLand
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Deland Addendum Physician Financial Assistance
Patient Financial Services
770 West Granada Blvd Ste 203
Ormond Beach, FL 32174
Phone: Call888-676-2219
Fax: Call386-676-2560AdventHealth Durand
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Durand Addendum Physician Financial Assistance
Patient Financial Services
7315 E. Frontage Road, Suite 200
Shawnee Mission, KS 66204
Phone: Call913-676-7558
Fax: Call913-676-7571AdventHealth East Orlando
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth East Orlando Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Fish Memorial
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Fish Memorial Addendum Physician Financial Assistance
Patient Financial Services
770 West Granada Blvd Ste 203
Ormond Beach, FL 32174
Phone: Call888-676-2219
Fax: Call386-676-2560AdventHealth For Children
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth For Children Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth For Women
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth For Women Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Gordon
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Gordon Addendum Physician Financial Assistance
Patient Financial Services
54 Brownsberger Circle
Fletcher, NC 28732
Phone: Call800-347-5281
Fax: Call828-650-8080AdventHealth Heart of Florida
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Heart of Florida Physician Financial Assistance
Patient Financial Services
PO Box 865839
Orlando, FL 32886-5839
Phone: Call866-481-2553
Fax: Call941-341-3717AdventHealth Hendersonville
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Hendersonville Addendum Physician Financial Assistance
Patient Financial Services
54 Brownsberger Circle
Fletcher, NC 28732
Phone: Call800-347-5281
Fax: Call828-650-8080AdventHealth Kissimmee
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Kissimmee Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Lake Placid
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Lake Placid Addendum Physician Financial Assistance
Patient Financial Services
PO Box 9400
Sebring, FL 33871
Attn: MB 3
Phone: Call863-386-7177
Fax: Call863-402-3389AdventHealth Lake Wales
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Lake Wales Addendum Physician Financial Assistance
Patient Financial Services
PO Box 865836
Orlando, FL 32886-5836
Phone: Call866-481-2553
Fax: Call941-341-3717AdventHealth Lenexa
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Lenexa Addendum Physician Financial Assistance
Patient Financial Services
PO Box 861372
Orlando, FL 32886-1372
Phone: Call913-676-7558
Fax: Call913-676-7571AdventHealth Manchester
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Manchester Addendum Physician Financial Assistance
Patient Financial Services
54 Brownsberger Circle
Fletcher, NC 28732
Phone: Call800-347-5281
Fax: Call828-650-8080AdventHealth Murray
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Murray Addendum Physician Financial Assistance
Patient Financial Services
54 Brownsberger Circle
Fletcher, NC 28732
Phone: Call800-347-5281
Fax: Call828-650-8080AdventHealth New Smyrna
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth New Smyrna Addendum Physician Financial Assistance
Patient Financial Services
770 West Granada Blvd Ste 203
Ormond Beach, FL 32174
Phone: Call888-676-2219
Fax: Call386-676-2560AdventHealth North Pinellas
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth North Pinellas Addendum Physician Financial Assistance
Patient Financial Services
PO Box 862624
Orlando, FL 32886-2624
Phone: Call813-615-7848
Fax: Call813-615-8182AdventHealth Ocala
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Ocala Addendum Physician Financial Assistance
Patient Financial Services
PO Box 865696
Orlando, FL 32886-5696
Phone: Call813-615-7848
Fax: Call813-615-8182AdventHealth Orlando
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Orlando Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Ottawa
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Ottawa Addendum Physician Financial Assistance
Patient Financial Services
7315 E. Frontage Road, Suite 200
Shawnee Mission, KS 66204
Phone: 913-676-7558
Fax: 913-676-7571AdventHealth Palm Coast
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Palm Coast Addendum Physician Financial Assistance
Patient Financial Services
770 West Granada Blvd Ste 203
Ormond Beach, FL 32174
Phone: Call888-676-2219
Fax: Call386-676-2560AdventHealth Redmond
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Redmond Addendum Physician Financial Assistance
Patient Financial Services
PO Box 290429
Nashville, TN 37229-0429
Phone: Call855-877-1355
Fax: Call866-908-8875AdventHealth Rollins Brook
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Rollins Brook Addendum Physician Financial Assistance
Patient Financial Services
608 N. Key Avenue
Lampasas, TX 76550
Phone: Call254-519-8476
Fax: Call254-519-8488AdventHealth Sebring
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Sebring Addendum Physician Financial Assistance
Patient Financial Services
PO Box 9400
Sebring, FL 33871
Attn: MB 3
Phone: Call863-386-7177
Fax: Call863-402-3389AdventHealth Shawnee Mission
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Shawnee Mission Addendum Physician Financial Assistance
Patient Financial Services
7315 E. Frontage Road, Suite 200
Shawnee Mission, KS 66204
Phone: Call913-676-7558
Fax: Call913-676-7571AdventHealth South Overland Park
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth South Overland Park Addendum Physician Financial Assistance
Patient Financial Services
PO Box 861372
Orlando, FL 32886-1372
Phone: Call913-676-7558
Fax: Call913-676-7571AdventHealth Tampa
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Tampa Addendum Physician Financial Assistance
Patient Financial Services
PO Box 861372
Orlando, FL 32886-1372
Phone: Call813-615-7848
Fax: Call813-615-8182AdventHealth Waterman
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Waterman Addendum Physician Financial Assistance
Patient Financial Services
1000 Waterman Way
Tavares, FL 32778
Phone: Call352-253-3311
Fax: Call352-253-3735AdventHealth Wauchula
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Wauchula Addendum Physician Financial Assistance
Patient Financial Services
PO Box 9400
Sebring, FL 33871
Attn: MB 3
Phone: Call863-386-7177
Fax: Call863-402-3389AdventHealth Wesley Chapel
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Wesley Chapel Addendum Physician Financial Assistance
Patient Financial Services
PO Box 864855
Orlando, FL 32886-4855
Phone: Call813-615-7848
Fax: Call813-615-8182AdventHealth Winter Garden
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Winter Garden Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Winter Park
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Winter Park Addendum Physician Financial Assistance
Patient Financial Services
PO Box 538815
Orlando, FL 32853-9902
Phone: Call407-303-0500
Fax: Call407-200-4977AdventHealth Zephyrhills
The following addendum to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program.
AdventHealth Zephyrhills Addendum Physician Financial Assistance
Patient Financial Services
PO Box 862310
Orlando, FL 32886-2310
Phone: Call813-615-7848
Fax: Call813-615-8182 - Cuidados Caritativos de AdventHealth (Español)
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AdventHealth extiende el ministerio de curación de Cristo a todos, independientemente de su capacidad para pagar los servicios. Los pacientes que no puedan pagar los servicios deben consultar con los asesores financieros de AdventHealth para obtener ayuda sobre cómo identificar los recursos disponibles para cumplir las obligaciones financieras.
La política de cuidados caritativos de AdventHealth brinda guías de asistencia financiera basadas en la necesidad económica de los pacientes que pagan los servicios por sí mismos y que reciben servicios de emergencia y otros de naturaleza no electiva a causa de afecciones de salud que podrían resultar perjudiciales si no se atienden inmediatamente. Estos servicios aplican a los pacientes externos del Departamento de Emergencias, los pacientes internos del Departamento de Emergencias y los cuidados de seguimiento relacionados con previas visitas de emergencia. La asistencia puede ir desde el pago total de los servicios hasta descuentos en los cuidados y es adicional a otros descuentos que AdventHealth pueda ofrecer.
Si se cumplen ciertos requisitos, se puede considerar elegible para cuidados caritativos la totalidad o una parte de los servicios no electivos y de emergencia.
- No existe cobertura disponible de parte de terceros.
- Existe cobertura disponible de parte de terceros pero con beneficios limitados.
- La cobertura de parte de terceros es denegada debido a afecciones pre-existentes.
- El paciente ya cumple los requisitos para recibir asistencia (ej. Medicaid), pero los servicios en particular no están incluidos en la cobertura.
- Los beneficios de Medicare o Medicaid han sido agotados y el paciente no tiene capacidad para pagar los servicios.
- El paciente cumple los requisitos locales y estatales para recibir ayuda caritativa.
La política de cuidados caritativos de AdventHealth es transparente y está disponible a todos, de acuerdo con la Ley de Servicios de Asistencia con el Idioma [Language Assistance Services Act]. Los carteles en el hospital, las políticas de cuidados caritativos, los formularios de asistencia financiera y la información de contacto están disponibles tanto en inglés como en español. AdventHealth brinda asesoría financiera a aquellos que se consideran pacientes que “pagan sus propios gastos”. Las facturas de cobro también incluyen instrucciones sobre cómo obtener asistencia financiera.
Tanto AdventHealth como el paciente son responsables del papel que desempeñan en el proceso relacionado con los cuidados caritativos.
AdventHealth es responsable de evaluar la elegibilidad del paciente para recibir asistencia financiera basándose en la política de cuidados caritativos, así como de notificarle al paciente las opciones de pago al mismo tiempo que reconoce el derecho del paciente de apelar cualquier decisión.
Asimismo, los pacientes son responsables de proporcionar información exacta y correcta y toda la documentación necesaria para solicitar asistencia financiera.Responsabilidades del paciente
- Para recibir descuentos según la política de cuidados caritativos, el paciente debe cooperar con AdventHealth y brindar la información y documentación necesarias para solicitar otros recursos financieros existentes que podrían estar disponibles para el pago de cuidados de salud, como Medicare, Medicaid, responsabilidad de terceros, etc.
- Para recibir descuentos según la política de cuidados caritativos, el paciente debe proporcionar a AdventHealth la información financiera y de otro tipo necesaria para determinar su elegibilidad. Esto incluye completar los formularios de solicitud necesarios y cooperar plenamente con el proceso de evaluación y recaudación de información.
- Todo paciente que califique para recibir un descuento parcial debe cooperar con el hospital en el establecimiento de un plan de pagos razonable.
- Todo paciente que califique para recibir un descuento parcial debe esforzarse de buena fe en cumplir los planes de pago de las facturas descontadas de hospital. El paciente tiene la responsabilidad de notificar a AdventHealth inmediatamente que ocurra cualquier cambio en su condición económica de manera que se pueda evaluar el impacto de este cambio en relación con las políticas de asistencia financiera que rigen la provisión de cuidados caritativos, las facturas descontadas de hospital o las disposiciones de los planes de pago.
Cuando se determine la elegibilidad del paciente para recibir cuidados caritativos, AdventHealth promete ser justo, consecuente y puntual. Las solicitudes de asistencia financiera serán aceptadas hasta seis (6) meses después de la fecha de la solicitud o si el caso se considera que la continuidad asistencial desde la fecha inicial de servicio.
Las solicitudes pueden provenir de fuentes múltiples. Las solicitudes recibidas de terceros serán redirigidas a un asesor financiero quien se encargará de conseguir las autorizaciones adecuadas de parte del paciente y luego trabajará con los terceros en nombre del paciente.
Los asesores financieros de AdventHealth intentarán contactar con todos los pacientes internos registrados y que asuman sus propios gastos durante su estancia en el hospital con el objetivo de evaluar sus necesidades. Además, AdventHealth puede usar al personal interno o agentes de terceros para ayudar a que los pacientes consigan la cobertura de Medicaid si son elegibles. Las comunicaciones de cobro que se envían a los pacientes también proporcionan información sobre la disponibilidad de asistencia financiera. Se aceptan gravámenes adjuntos a los seguros (de automóvil, responsabilidad, vida y salud). El hospital no presentará otros juicios o gravámenes personales contra pacientes de servicios no electivos que asuman sus propias responsabilidades económicas para aquellos cuyos ingresos familiares sean menores que el 400% del Índice de Pobreza Federal.
Todos los pacientes que soliciten asistencia financiera deberán completar el Formulario de Solicitud de Asistencia Financiera de AdventHealth con el objetivo de establecer su elegibilidad. Los pacientes podrán ser elegibles para recibir cuidados caritativos si no tienen seguro y están representados por circunstancias específicas.
- El paciente es indigente.
- El paciente ha fallecido y no se tiene conocimiento de sucesión alguna que se pueda usar para pagar las deudas médicas.
- El paciente está encarcelado por haber cometido un delito.
- El paciente actualmente es elegible para recibir beneficios de Medicaid pero no lo era en el momento de recibir el servicio de salud en cuestión.
- El paciente es elegible para recibir asistencia estatal en virtud de la Ley de Compensación a Víctimas de Delitos Violentos o la Ley de Compensación a Víctimas de Delitos Sexuales.
- El paciente es elegible para recibir fondos de los Centros de Medicare y Medicaid para ciertos servicios de emergencia que se brindan a inmigrantes indocumentados de acuerdo con la Ley de Modernización, Mejoramiento y de Medicamentos por Receta Médica de Medicare de 2003 (MMA), Sección 1011, independientemente de que se hayan agotado los fondos de la Sección 1011 para el estado aplicable.
- El paciente obtiene una puntuación de riesgo de pago de “D” o “E” basándose en la solicitud Scorer®.
El Formulario de Solicitud de Asistencia Financiera una vez completado deberá enviarse al departamento de Servicios Financieros al Paciente (SFP) de AdventHealth para ser procesado. El SFP exige evidencia de ingresos, que incluye coletillas de pago del empleador, declaración del empleador y/o resumen de la declaración de impuestos al Servicio Interno Fiscal. Además, los beneficiarios de Medicare están sujetos a una evaluación adicional de activos de acuerdo con las leyes federales. Esta revisión se completará para determinar la elegibilidad del paciente basada en la totalidad de los recursos del paciente (que incluyen pero no se limitan a nivel de ingresos familiares, activos [como se exige a los pacientes de Medicare] y otra información pertinente).
La aprobación de los cuidados caritativos se hará de acuerdo a las Directrices de Cuidados Caritativos de AdventHealth. Para obtener una reducción del 100% de los cargos (fuera del copago de $ 100 pacientes), el nivel de ingreso familiar de los pacientes deberá ser o estar por debajo del 200% del Índice de Pobreza Federal vigente. Los pacientes cuyos ingresos familiares excedan el 200% pero estén por debajo del 400% serán elegibles para un descuento basado en una escala móvil. El descuento mínimo para pacientes que paguen por sí mismos los servicios no electivos será del 30% con oportunidad de descuentos adicionales si los pagos se hacen puntualmente. La evaluación de activos es obligatoria para los pacientes de Medicare. Los pacientes de Medicare son responsables de lo que sea mayor de: 1) el siete por ciento (7%) de los activos disponibles (definidos como efectivo, equivalente a efectivo e inversiones que no sean de jubilación) o 2) el pago requerido por la Hoja de cálculo de descuentos para los casos de pacientes que pagan por sí mismos y de caridad para servicios No Electivos.
Al determinar el ingreso de los pacientes, el tamaño del núcleo familiar y los ingresos incluirán todos los miembros de la familia inmediata y otras personas a cargo en el núcleo familiar. Esto incluye un adulto (y su cónyuge si corresponde), hijos menores de edad, naturales o adoptados, del adulto o su cónyuge; estudiantes mayores de 18 años que dependan de más del 50% del apoyo familiar y cualquier otra persona que dependa de más del 50% del ingreso de la familia. (Será necesario que el adulto responsable presente una declaración de impuestos vigente.) Los ingresos pueden verificarse al enviar un estado de cuentas financiero personal, copias de los formularios W-2 ó 1040, estados de cuentas bancarios o cualquier otra documentación que acredite el informe de ingresos.
El Comité de Cuidados Caritativos de AdventHealth revisa mensualmente las solicitudes de ayuda caritativa procesadas por el SFP. Se le notificará al paciente si es elegible antes de que transcurran 60 días de haber recibido la solicitud rellenada y toda la documentación necesaria. Si el paciente no está de acuerdo con la decisión, puede solicitar una apelación por escrito antes de que transcurran 45 días de la denegación y deberá incluir cualquier información adicional relevante que pueda ser útil en el proceso de apelación. Para aquellos pacientes que han solicitado los beneficios de Medicaid, se suspenderá la actividad de cobro mientras se procese la solicitud. Esto se hace por cortesía y no implica liberación de responsabilidad con respecto a la obligación de pago.
Los planes de pago para cuentas parciales de caridad se elaborarán de manera individual con el paciente. Todas las actividades de cobro se llevarán a cabo de acuerdo con las leyes estatales y federales que rigen las prácticas de cobro de deudas. Si el paciente no realiza tres pagos mensuales consecutivos, AdventHealth podrá remitir al paciente a una agencia de cobros.
Todas las transacciones de cuidados caritativos se registran cuidadosamente.
La provisión de cuidados caritativos puede estar sujeta, ahora o en el futuro, a las leyes federales, estatales o locales. Tales leyes serán válidas hasta el punto que impongan requisitos más estrictos que esta política.
Para obtener más información, por favor sírvase de llamar a Call407-303-0500.

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