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Financial Responsibility Policy & Billing Statement

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Billing & Insurance Information

The financial policy set forth by Cancer Institute of Florida is to secure payment for services at the time rendered. Co-payments and balance dues are expected to be paid at the time of service.

We will provide insurance claim filing for the insurance plans that we participate. If there is a balance due after payment is rendered by the insurance company, we will expect your prompt payment of that balance.

It is the patient’s responsibility to provide us with current insurance plan information prior to services rendered in order for accurate billing of services to be filed. As a health care provider, our relationship is with our patients and as a team; we will continuously follow up on outstanding claims. At times, we may require the patient’s intervention to assist us and we appreciate the patient working with us in this regard.

In order to accommodate the needs and requests of our patients and the community, we have enrolled in various managed care plans. While we gladly provide this service to our patients, it is important for the patient to be familiar with the guidelines of their insurance plan requirements regarding authorizations, deductibles, co-payments and other vital requirements.

We strive to offer our patients excellent family medical care and assist the patient to receive maximum benefit from their insurance plan.

Accepted Insurance

It is your responsibility to provide us with your most current insurance and billing information. Please verify with your insurance provider that our practice is on their provider list. We participate with almost all local insurance plans. Please bring your insurance card with you so that we can make a copy for your record. Anytime that you have a change in insurance, address or phone number, be sure to notify the receptionist so that the change can be entered into our system. Payment is due at the time of service.

We do accept credit cards for payment, such as VISA and MASTERCARD.

Co-payments, Co-insurance & Deductibles

Co-payments, co-insurance and deductibles are due at the time of service. For co-insurance we will estimate the amount you owe. You will be responsible for the balance after your insurance company pays your claim. We accept cash, checks, Visa, and MasterCard.

You will receive a statement from our billing office, Florida Hospital Medical Group. Payment for your balance will be due upon receipt of the statement. If you are unable to pay the balance in full, you must contact the billing office to make payment arrangements.

If you undergo surgery, your insurance company will be billed for Cancer Institute of Florida professional services. The hospital or surgical center will be billed for operating room fees and there are additional fees for anesthesia. Some surgical procedures may require a second surgeon to assist and your insurance company will be billed separately on his behalf. Any inquiries should be addressed to that surgeons billing department. Deposits that are paid to Cancer Institute of Florida are only applied to his fee for performing the surgery.

Form Fees

Forms that you request to be filled out for Cancer Institute of Florida, short/long term disability and all other insurance forms will be subject to a $25.00 fee per form.

  • Appointment Policies
  • Financial Responsibility Policy and Billing Statement