Transparency in Healthcare

The Surgery Center of Mount Dora‘s charitable care policy provides financial relief to patients who receive care and 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 policy’s household income qualifications which are based on Federal Poverty Level Guidelines established annually by the Department of Health and Human Services. Submission of supporting documentation is required to validate a patient’s qualifying status.

The patient may be asked to supply all or any of the following: a copy of their last two paystubs; current year Federal 1040 tax return; unemployment benefits; Social Security benefits; Department of Social Services grants and/or food stamps amounts. Additional information may be requested in order to qualify.

As a courtesy to our patients, we will file an insurance claim on behalf of the patient to his/her insurance plan. If an insurance plan requests additional information from the patient, we require prompt response in order to minimize payment delays.

Patients are expected to pay their financial obligations in a timely manner. Denied/ $0 pay claims by the payer may result in the entire contractual amount transferred to the patient for collection.

For all outstanding patient balances, the facility will attempt to reach patients by any method available to us to secure payment including monthly statements and patient phone calls. If the account becomes delinquent, the balance may be placed with an outside collection agency.