Billing & Insurance Information
You may request the facility to provide details for any of the elements within the financial assistance program. Certain policies have an application process requiring the patient to submit additional financial and household information to determine qualification of the available assistance.
Our financial assistance program offers self-pay rates (discounted fee) for the uninsured, and in some cases, charity care or hardship discount assistance for those that qualify. A reduced financial liability may be offered while still complying with insurance contract obligations and Federal and State regulations. Please contact our facilities business office for further information on our policies as reflected below. Surgeons and anesthesiologists bill for their services separately from the surgery center so contact them for their programs. We do not offer care credit at Palms Wellington Surgical Center.
The center may offer a charity/hardship discount policy which provides some financial relief to patients who receive medically necessary care and who do not qualify for State or Federal assistance and are unable to pay the estimated or remaining financial responsibility in part or in full. A patient must meet the household income qualifications which are based on Federal Poverty Guidelines (revised annually). Submission of supporting documentation is required to validate a patient’s qualifying status.
We accept cash, money order, Master Card, Visa, American Express or Discover. Personal checks must be $500.00 and under with an alternative form of payment available if our check reader system does not accept the check. We are an elective facility and require an estimated payment of your deductible, co-payment, and/or co–insurance at the time of arrival and check in to our center. We utilize on-line tools to ESTIMATE patient costs. There are no payment plans. Each patient is expected to pay his/her estimated financial liability on or before the day of surgery.
As a courtesy to our patients, we file an insurance claim on behalf of the patient to his/her insurance plan. A patient is expected to respond to his/her insurance plan’s request for information timely, as needed, in order to minimize processing delays with the claims.
Patients are expected to pay their financial obligations in a timely manner including the estimated portion by the day services are received, and any remaining portion upon finalization of the claim by the payer. Unpaid claims by the payer may result in the account’s outstanding balance being fully transferred to the patient for collection.
Palms Wellington Surgery Center accepts many insurance plans. Specifically, PWSC has written contracts/agreements with the following major managed care insurers/networks: You may request an estimate of charges from both the ASC and other providers who provide their treatment.
- Commercial PP0/HMO
- Medicare HMO/PPO
- Mail Handers
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 not participate with the same health insurers or health maintenance organizations as the facility.
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 this surgery center to determine the health insurers with which the health care practitioner participates as a network provider or preferred provider. You may pay less for this procedure or service at another facility or in another health care setting.
Contracted Service Providers
As of July 1, 2016, the following providers render services to patients of this surgery center. Patients should contact:
Anesthesiology Consultants of the Palm Beaches
1-800-835-9109 or 561-798-4221
12230 Forest Hill Blvd. Suite 182
Wellington, FL 33414
The Center for Bone and Joint Surgery of the Palm Beaches (7 locations)
10111 Forest Hill Blvd.
Wellington, FL 33414
Comprehensive Pain Care of South Florida 561-795-8655
2585 S. State Road 7 (441)
Wellington, FL 33414
Patient Resources on Defined Service Bundles and Procedures
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.
If you have a complaint involving our surgery center and wish to speak to someone directly, please call during regular business hours and ask to speak with the Administrator at (561) 792-7333 or write to:
Palms Wellington Surgical Center
460 N. State Road 7
Royal Palm Beach, FL 33411
Submission and Investigation of Grievances:
You have the right to have your verbal or written grievances submitted, investigated and to receive a written notice of the Center’s decision. The following are the names and/or agencies you may contact:
Florida Agency for Healthcare Administration
2727 Mahan Drive Tallahassee, FL 32308 888-419-3456
If you have a complaint against a healthcare professional, you may contact:
Florida Department of Health
Consumer Services Unit
4052 Bald Cypress Way, Bin C75
Tallahassee, FL 32399-3260
Sites for Address and Phone Numbers of Regulatory Agencies:
Medicare www.medicare.gov or call 1-800-MEDICARE (800-633-4227)
Our surgery center is accredited by the following organization; you may also contact them directly with any concerns/complaints:
Accreditation Association for Ambulatory Health Care, Inc.
5250 Old Orchard Road, Suite 200
Skokie, IL 60077