Financial Assistance Policy

If Bonita Springs Surgery Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Bonita Springs Surgery Center may initiate contact with them to determine your cost-sharing responsibilities for Bonita Springs Surgery Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Bonita Springs Surgery Center determines that you have cost-sharing responsibilities for Bonita Springs Surgery Center’s bill, in accordance with Bonita Springs Surgery Center’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. Bonita Springs Surgery Center’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  Surgery Bonita Springs Center, 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 Surgery Bonita Springs Center to be “charity care.” There is no formal application process for obtaining “charity care” at Bonita Springs Surgery Center.  Surgery Bonita Springs Center’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.

Good Faith Estimate

Upon request, and before the provision of non-emergency care at Bonita Springs Surgery Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Bonita Springs Surgery Center. This estimate must be provided to you within seven (7) days of the request being received by Bonita Springs Surgery Center.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 Bonita Springs Surgery Center at (239) 319-1280. 

Itemized Bill

Upon request and after discharge from Bonita Springs Surgery Center we will provide a statement within 7 working days of your request.

Provider Disclosure

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

Seaside Surgery Center Providers

Somnex (Anesthesia Provider)
Labcorp (Lab services)
Naples Pathology (Pathology Services)

Upon request and after discharge from Bonita Springs Surgery Center, Bonita Springs Surgery Center 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

Patient Complaint or Grievance

To report a complaint or grievance, you can contact the facility Administrator by phone: (239) 319-1280
or by mail at:
Bonita Springs Surgery Center
12871 Trade Way Center Dr. STE 12
Bonita Springs, Fl 34135