Financial Information

• I. Financial Assistance
  • a. Contact the Business Office to schedule a financial assistance appointment.
    • i. Insurance Coverage Determination:
    • 1. Yes, insurance coverage is available:
      • a. Business Office will complete benefit check.
      • b. Business Office will advise patient how to contact their plan and obtain estimated patient responsibility.
      • c. See Item III for patient responsibility payment plan.
    • 2. No, there is no insurance coverage available:
      • a. Complete a financial assessment form with the Business Office.
      • • i. If patient qualifies for charity care:
          • 1. Enrollment assistance offered for Medicaid or Health Insurance Exchange, if applicable.
          • 2. See Item V for Charity Care Policy.
        • ii. If patient does not qualify for charity care:
          • 1. Advise of full patient responsibility.
          • 2. See Item III for payment plan.
• II. Application Process – All applicability of allowable financial arrangements are based on a standardized financial assessment form to be completed by the patient with assistance from the Business Office.
  • a. Contact the Business Office to arrange a financial assessment.
  • b. The Business Office will evaluate and provide options based on information obtained during the financial assessment. See Item I.
• III. Payment Plans – Payment options exist for patients’ financial responsibility that may be negotiated based on the financial assessment form.
  • a. If insured, upon request, deductible, co-pays, and co-insurance payment plans can be discussed, as applicable, based on the outcome of your financial assessment.
  • b. If uninsured, and not qualified for charity care, payment plan options will be presented.
  • c. If qualified for charity care, this process is not applicable.
• IV. Discounts – There are no standard discounts. Individual payment plans may include cost reductions.
• V. Charity Care Policy – When an uninsured patient falls below certain income levels, which is identified through the financial assessment, services provided are considered charity care and recorded as such. No charges are billed to the patient.
  • a. A financial assessment must be completed with the Business Office.
  • b. The Business Office will advise patient if charity care criteria have been met.
  • c. Enrollment assistance offered for Medicaid or Health Insurance Exchange, if applicable.
• VI. Collections Procedure – Payments can be made through various tender. Due dates are discussed during payment plan arrangements. Significantly delinquent accounts will be reviewed for potential placement with a third-party agency.

Billing Transparency

1. Services may be provided in the hospital by the facility as well as by other health care practitioners who may separately bill the patient;
2. Health care practitioners who provide services in the hospital may or may not participate with the same health insurers or health maintenance organizations as the hospital; and
3. Prospective patients should contact the health care practitioner who will provide services in the hospital to determine which health insurers and health maintenance organizations the practitioner participates in as a network provider or preferred provider.
4. You or your insurance company may receive a separate bill in addition to the hospital’s bill for any of the following services you may receive while at the hospital: your attending physician (including your attending psychiatrist), consults or second opinions ordered by your attending physician, internal medicine physician, anesthesiologist, and ambulance services.
5. Estimated Charges are available upon request. To request an individualized estimate of charges, itemized copy of your bill or medical records to very your bill please call 904-296-3533 and request to speak to the Business Office Monday through Friday 8:30 a.m. – 5:00 p.m. Patients and prospective patients have a right to request a personalized estimate.
6. This is the link to the AHCA pricing website: 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.

Quality Information By Provider

Health Care Transparency
healthfinder.fl.gov

AARP Medicare Complete / United Behavioral Health (UBH)
ubhsinc.com

Aetna Health Insurance
aetna.com

• Aetna Open Access Elect Choice
• Aetna Open Access Managed Choice
• Aetna Open Access Select
• Aetna Open Choice
• Aetna Signature Administrators
• Aetna SRC Affordable Health Choices
• Aetna Student Health Plan
• Behavioral Health Network
• Commercial PPO / HMO
• International PPO
• Mail Handlers
  • Medicare HMO / PPO

AHF MCO of Florida / Beacon
beaconhealthoptions.com

Amerigroup
amerigroup.com

AvMed / Magellan Summit
magellanhealth.com

Beacon Health Options (f / k / a ValueOptions)
Behavioral Health Network
beaconhealthoptions.com

Beacon Health Strategies (f / k / a Psychcare)
Behavioral Health Network
beaconhealthoptions.com

Blue Cross Blue Shield – Florida Blue / New Directions Behavioral Health
ndbh.com

• BCBS Federal Employee
• BCBS FL Blue Options / Network Blue / Traditional / PPC
• BCBS BlueCard
• BCBS of Alabama
• BCBS Anthem
• BCBS Medicare
• BCBS IL
• BCBS Michigan (Smart Health)
• BCBS North Carolina
• BCBS South Carolina

CarePlus(Medicare HMO) / Magellan
magellanhealth.com

Centene (Sunshine) / Cenpatico
cenpatico.com

• Allwell
• Ambetter
• Behavioral Health Network
• Medicaid HMO
• Medicare HMO / PPO

Cigna
cigna.com

• QHP
• Behavioral Health Network
• Commercial PPO / HMO
• Cigna HealthCare / Great-West Healthcare
• Cigna Choice Fund Open Access Plus
• Cigna EPO and PPO
• Cigna HMO Open Access
• Cigna HMO, Network, POS
• Cigna Indemnity
• Cigna HMO or POS Open Access
• Cigna Open Access Plus
• GHW-Cigna Open Access Plus

Coventry / Beacon
beaconhealthoptions.com

• Coventry Health Care National Network (select employer groups)
• Coventry Health and Life of Iowa, Nebraska and South Dakota (includes commercial HMO plans)
• Coventry Medicare
• Coventry Medicaid

Compsych Behavioral Health Network
compsych.com

Concordia Behavioral Health
concordiabh.com

Evercare / UBH Medicaid
ubhsinc.com

Florida Blue Blue Cross Blue Shield / New Directions Behavioral Health
ndbh.com

• BCBS Federal Employee
• BCBS FL Blue Options / Network Blue / Traditional / PPC
• BCBS BlueCard
• BCBS of Alabama
• BCBS Anthem
• BCBS Medicare
• BCBS IL
• BCBS Michigan (Smart Health)
• BCBS North Carolina
• BCBS South Carolina

Florida Health Care Plans (referral and authorization needed)
FHCP.com

Florida True Health / Beacon
beaconhealthoptions.com

Freedom Healthcare / Beacon
beaconhealthoptions.com

Health First / Magellan
magellanhealth.com

Healthnet / MHN
healthnet.com

Humana Medicare HMO / Humana Medicaid / Humana PPO and Humana Commercial Policies
humana.com

Innovative Health Services (City of Jacksonville)
innovativehealthservices.com

Magellan Health / Magellan Summit / Magellan Pinnacle / Complete Care / Magellan Medicaid / Magellan Medicare
magellanhealth.com

Mayo Clinic Health Solutions
mayoclinichealthsolutions.com

Medicare
medicare.gov

Molina (Medicaid HMO) / Beacon Health Option
beaconhealthoptions.com

Molina (Marketplace Policy) / Beacon Health Option
beaconhealthoptions.com

MultiPlan (verify benefit level with insurance)
multiplan.com

Physicians United / Beacon Health Options
beaconhealthoptions.com

Positive Care Partners (Medicare HMO) / Beacon Health Options
beaconhealthoptions.com

Preferred Care Partners / UBH
ubhsinc.com

Staywell (Medicaid HMO) / Wellcare
wellcare.com

Tricare / Humana Tricare
tricare.com

• Tricare Prime
• Tricare Standard (PPO)
• Tricare Overseas

United Healthcare (Commercial) / UBH
ubhsinc.com

United Healthcare Medicaid / UBH
ubhsinc.com

United Healthcare Medicare / UBH
ubhsinc.com

Value Options / Beacon Health Options
beaconhealthoptions.com

Wellcare / Healthease / Staywell
wellcare.com

• Behavioral Health Network
• Medicaid HMO
• Medicare HMO / PPO

Physicians

To reach a physician at his or her private practice, please contact:

Psychiatrists:
DeCarvalho, Marcus, MD – 904-296-3533
Henein, Fady, MD – 904-296-3533

Internal Medicine:
Shehadeh, Mohammad, MD – 904-296-3533
Touheed, Mohammed, MD – 904-296-3533

Psychologists:
Gross Jonathan – 904-296-3533