Financial Assistance Policy

If Titusville Center for Surgical Excellence believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Titusville Center for Surgical Excellence may initiate contact with them to determine your cost-sharing responsibilities for Titusville Center for Surgical Excellence’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Titusville Center for Surgical Excellence determines that you have cost-sharing responsibilities for Titusville Center for Surgical Excellence’s bill, in accordance with Titusville Center for Surgical Excellence’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided. Titusville Center for Surgical Excellence’s financial assistance policies are that if you are unable to pay your cost-sharing responsibilities in full on or before the date that Services are provided, because you believe you are medically indigent or you are not covered by any health insurance or HMO, then upon request Titusville Center for Surgical Excellence, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by Titusville Center for Surgical Excellence to be “charity care.” There is no formal application process for obtaining “charity care” at Titusville Center for Surgical Excellence. Titusville Center for Surgical Excellence’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.

Good Faith Estimate

Upon your request, and before the provision of non-emergency care at Titusville Center for Surgical Excellence, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Titusville Center for Surgical Excellence. This estimate must be provided to you within seven (7) days of the request being received by Titusville Center for Surgical Excellence. You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling Titusville Center for Surgical Excellence at (321) 567-6300. 

Itemized Bill

Upon request and after discharge from Titusville Center for Surgical Excellence we will provide a statement within 7 working days of your request. 

Provider Disclosure

Services may be provided in this health care facility by Titusville Center for Surgical Excellence 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 Titusville Center for Surgical Excellence.  You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Titusville Center for Surgical Excellence may contract with providers for pathology and anesthesiology services; these services are billed separately from Titusville Center for Surgical Excellence for their services.  You may contact these providers through their contact information provided below.

Titusville Center for Surgical Excellence Providers

Quest Diagnostics
3233 Garden Street
Titusville, FL 32796
866-697-8378

Carmona Path Associates
951 N. Washington Ave
Titusville, FL 32796
321-268-6111

Sheridan Health Care
7700 W. Sunrise Blvd.
Plantation, FL 33322
800-437-2672

IPG
11605 Haynes Bridge Rd.
Alpharetta, Ga   30009
866-753-0046

EMS
Titusville Fire and Rescue
550 S Washington Ave
Titusville, FL   32796
321-383-5708

Patient Health Record

Upon request and after discharge from Titusville Center for Surgical Excellence, Titusville Center for Surgical Excellence will make available the patient record that may be necessary for verification of the accuracy of your patient statement within 10 working days of your request.

Link to Healthcare Related Data

Pursuant to AHCA Statute: s.405.05,F.S. please find here a link to data, quality measures, and statistics that are disseminated by AHCA.

www.Floridahealthfinder.gov