Financial Services
Palms Wellington Surgical Center is committed to providing our patients with the highest quality of service possible. That's why we offer a variety of convenient billing and insurance options to suit your needs.
We accept cash, money order, Mastercard, 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.
Please contact Palms Wellington Surgical Center Billing Department at (561) 792-7333 if you would like a personalized estimate from the center.
You may also pay your bill online.
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 the 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. You may contact them directly regarding estimates. We do not offer CareCredit 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.
Please contact Palms Wellington Surgical Center Billing Department at (561) 792-7333 if you would like a personalized estimate from the center.
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.
Services may be provided by Palms Wellington Surgical Center as well as other healthcare 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. Patients should contact each healthcare practitioner who will provide services at Palms Wellington Surgical Center to determine the health insurers and health maintenance organizations with which the healthcare practitioner participates as a network provider or preferred provider.
The following providers are contracted with Palms Wellington Surgical Center to provide services for patients:
Envision Anesthesia
1A Burton Hills Boulevard
Nashville, TN 37215
800-296-2611
The Center for Bone and Joint Surgery of the Palm Beaches
10111 Forest Hill Blvd.
Wellington, FL 33414
561-798-6600
Comprehensive Pain Care of South Florida
2585 South State Road 7, Suite 110
Wellington, FL 33414
561-795-8655
IPG Integrated Surgical Solutions-Blue Cross & Blue Shield-Aetna
2520 Northwinds Pkwy, Suite 300
Alpharetta, GA 30009
Phone: 866-295-1260
IPG – Integrated Surgical Solutions (ipgpatient.com)
Patients may access the State of Florida’s Agency for Healthcare Administration website at this link for information about this surgery center: www.floridahealthfinder.gov
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 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
Attn: Administrator
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
http://ahca.myflorida.com
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
850-245-4339
http://www.floridahealth.gov
Sites for Address and Phone Numbers of Regulatory Agencies:
Medicare www.medicare.gov or call 1-800-MEDICARE (800-633-4227)
Palms Wellington Surgical Center is accredited by AAAHC.
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
847-853-6060
http://www.aaahc.org/contact-us/
- Aetna
- Medicare
- Medicare Advantage Plans
- Cigna
- Blue Cross and Blue Shield (All Plans Accepted)
- Workers Compensation
- Auto Insurance
- Humana
- United Healthcare
Out of Network Insurance Plans Accepted:
Most PPO and POS Plans
If you do not see your insurance plan listed, or if you have any questions regarding insurance plans, please call our Business Office at (561) 792-7333.
Services may be provided by Palms Wellington Surgical Center as well as other healthcare 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.
Patients should contact each healthcare practitioner who will provide services at Palms Wellington Surgical Center to determine the health insurers and health maintenance organizations with which the healthcare practitioner participates as a network provider or preferred provider.
As a patient you have the right to receive a “good faith estimate" explaining how much your medical care will cost.
Under the No Surprises Act, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a good faith estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and facility fees.
Make sure your health care provider gives you a good faith estimate in writing at least 1 business day before your medical service or item.
You can also ask your health care provider, and any other provider you choose, for a good faith estimate before you schedule an item or service.
For questions or more information about your right to a good faith estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059 starting January 1, 2022.
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn't be charged more than your plan's copayments, coinsurance, and/or deductible.
WHAT IS “BALANCE BILLING” (SOMETIMES CALLED “SURPRISE BILLING”)?
When you see a doctor or other healthcare provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, or deductible. You may have additional costs or have to pay the entire bill if you see a provider or visit a healthcare facility that isn’t in your health plan’s network.
“Out-of-network” means providers and facilities that haven’t signed a contract with your health plan to provide services. Out-of-network providers may be allowed to bill you for the difference between what your plan pays, and the full amount charged for a service. This is called “balance billing”. This amount is likely more than in-network costs for the same service and might not count toward your plan’s deductible or annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.
You’re protected from balance billing for:
EMERGENCY SERVICES
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most they can bill you is your plan’s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Additionally, Florida law protects patients with coverage through a Health Maintenance Organization (“HMO”) from balance billing for covered services, including emergency services, when the services are provided by an out-of-network provider.
CERTAIN SERVICES AT AN IN-NETWORK HOSPITAL OR AMBULATORY SURGICAL CENTER
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other types of services at these in-network facilities, out-of-network providers can’t
balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get out-of-network care. You can choose a provider or facility in your plan’s network.
Additionally, Florida law also protects patients with coverage through Preferred Provider Organization (“PPO”) or an Exclusive Provider Organization (“EPO”) from balance billing for covered services provided at hospitals, urgent care centers or ambulatory care centers for (1) emergency services and (2) non-emergency services provided at an in-network facility by an out-of-network provider if the patient did not have the opportunity to choose an in-network provider. This protection only requires patients to pay their in-network cost sharing amounts.
When balance billing isn’t allowed, you also have these protections:
- You’re only responsible for paying your share of the cost (like the copayments, coinsurance, and deductible that you would pay if the provider or facility was in-network). Your health plan will pay any additional costs to out-of-network providers and facilities directly.
- Generally, your health plan must:
- Cover emergency services without requiring you to get approval for services in advance (also known as “prior authorization”).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit.
If you think you’ve been wrongly billed:
Contact The U.S. Centers for Medicare & Medicaid Services (CMS) at 1-800-MEDICARE (1-800-633-4227) or visit https://www.cms.gov/nosurprises/ consumers for more information about your rights under federal law.
The Florida Department of Financial Services, Division of Consumer Services at 1-877-693 – 5236 (1-877-MY-FL-CFO).
The federal phone number for information and complaints is: 1-800-985-3059.
For billing or insurance related questions, please contact us at (561) 792-7333.
