Our financial assistance program offers a variety of ways to reduce a patient’s financial responsibility for services rendered by Coastal Surgery Center. Our program structures a balance between offering the patient a reduced financial liability while still complying with insurance contract obligations and Federal and state regulations.

Please contact Coastal Surgery Center’s office for further information on our policies as reflected below. Surgeons, anesthesia providers, and other service providers (such as pathologists or laboratories) bill for their services separately from the surgery center and may offer their own financial assistance program—please contact them for further information regarding their services.

Application Process

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.

Payment Plans

Each patient is expected to pay his/her estimated financial liability on or before the day of service. In the event a patient is unable to pay the estimated liability in full, our surgery center may offer a short term repayment schedule after a minimum down payment is made. For an extended repayment schedule, a patient may need to secure financing with an outside source. Please consult with Coastal Surgery Center’s office for further information.

Uninsured Discounts

Patients who are not eligible to receive services paid for by insurance or other third party payment sources may be eligible to receive an uninsured discount from our facility. This discount does not apply for cosmetic surgery services as defined by our facility. The discount is a set percentage off of charges and is subject to change. If a patient’s services are subsequently found to be covered by insurance or other third party payment source, the uninsured discount may be disallowed.

Prompt Pay Discount

Coastal Surgery Center may offer a nominal discount for full payment of the estimated financial liability on or before the day of service for patients with non-government insurance coverage in an effort to reduce its collection expenses. The discount is a set percentage. Should the actual financial liability vary from the estimated liability, the discounted amount will be adjusted in order to maintain the set percentage.

Charity Care

Coastal Surgery Center maintains a charity discount policy which provides 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 policy’s household income qualifications which are based on Federal Poverty Level Guidelines (revised annually). Submission of supporting documentation is required to validate a patient’s qualifying status.

Out of Network

A patient receiving treatment at Coastal Surgery Center under insurance with which our facility is out of network may be eligible to receive an adjustment to their assigned out of network patient liability, assuming our facility is not prohibited from offering Out of Network adjustments under state/Federal laws or your insurance company’s provisions. If not prohibited, the application of any out of network discount is subject to vary based on a patient’s benefit coverage. Accounts which become delinquent may have the adjustment disallowed.

Collection Procedures

As a courtesy to our patients, we will 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 claim.

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.

If needed, Coastal Surgery Center will attempt to reach a patient by any method available to us to secure payment on the outstanding balance utilizing internal and external resources. If the account becomes delinquent, it may be placed with an attorney or agency for collection in which their fees and expenses may be the obligation of the patient.

Other Providers

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 or 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 and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.

Contracted Service Providers:

Health Care Practitioners:

As of July 1, 2016, the following providers render services to patients of this surgery center. Patients should contact:

Timothy E. Fee, MD
4147 Southpoint Dr E
Jacksonville, Florida 32216
904-332- 6774

Patrick Basile, MD
572 Jacksonville Drive
Jacksonville Beach, Florida 32250
904-222- 6262

David Mobley, MD
5101-2 Gate Parkway
Jacksonville, Florida 32256
904-396- 1186

Sofia Kirk, MD
9066 Cypress Green Drive
Jacksonville, Florida 32256
904-260- 2001

Anesthesia Providers:

Michael Geisler, CRNA
Deborah Geisler, CRNA
Stage II, Inc.
14402 Marina San Pablo PL #903
Jacksonville, Florida 32224
904-476- 9126

Labs:

Pathology
This surgery center submits specimens to different pathology / laboratory providers so please inquire with the facility as to which pathology / laboratory provider will be used. Some pathology / laboratory providers may engage in specialized pathologists or other labs to assist in analyzing the patient’s specimen.

Laboratory
This surgery center submits specimens to different pathology / laboratory providers so please inquire with the facility as to which pathology / laboratory provider will be used. Some pathology / laboratory providers may engage in specialized pathologists or other labs to assist in analyzing the patient’s specimen.

Piedmont Pathology
1899 Tate Blvd. S.E. Suite 1105
Hickory, N.C. 28602
1-888- 339-8147 (Toll Free)

Consolidated Laboratory
1 Shircliff Way

St. Vincent’s Medical Center
Jacksonville, Florida 32204
904-308- 5600

Quest Diagnostics
3 Giralda Farms
Madison, NJ 07940
1-866- 697-8378 (Toll Free)

Coastal Cosmetic Center
4147 Southpoint Dr E
Jacksonville, Florida 32216
904-332- 6774

Florida Health Finder

FloridaHealthFinder.gov

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

Other Providers

Services may be provided in this health care facility by Coastal Surgery Center as well as by other health care 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 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 and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.

Contracted Service Provider

As of July 1, 2016, the following providers render services to patients of this surgery center. Patients should contact: FloridaHealthFinder.gov

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