Financial Responsibility
Patients are responsible for any deductibles, co-payments, or amounts not covered by insurance. These payments are due prior to the delivery of services. St. Augustine Ambulatory Surgery Center accepts personal checks and major credit cards. Payments may be made securely over the phone before your procedure or at the time of check-in. If you have any questions regarding your financial responsibility, our team will be happy to assist you.
Questions About Your Bill
After discharge, you will receive a statement for any remaining balance once your insurance company has processed your claim. Payment is due upon receipt and may be made by personal check or credit card. If you have questions about your statement, please contact the billing department using the phone number provided on your invoice.
Patient Complaints or Grievances
To report a complaint or grievance, please contact the Facility Administrator by phone at +1-904-648-8660 or by mail at:
St. Augustine Ambulatory Surgery Center
45 Groover Loop, Suite 100
St. Augustine, FL 32086
Financing Options
CareCredit Credit Card
We accept the CareCredit credit card to help you finance your healthcare wants or needs. It can be used to pay for out-of-pocket expenses like deductibles and copays not covered by insurance.
- CareCredit offers promotional financing on purchases of $200 or more. *
- Call your surgical facility if you have any questions.
*Subject to credit approval. See provider for details.
Patient Forms
- Information for Patients
- Nondiscrimination and Accessibility Requirements
- Florida Transparency Act
- Patient Rights & Responsibilities
- Patient Rights & Responsibilities Spanish
- Physician Ownership Patient Notice
- Privacy Notice
- Transportation Release Form
PRIVACY RULE
Most of us believe that our medical and other health information is private and should be protected, and we want to know who has this information. The Privacy Rule, a Federal law, gives you rights over your health information and sets rules and limits on who can look at and receive your health information. The Privacy Rule applies to all forms of individuals’ protected health information, whether electronic, written, or oral. The Security Rule is a Federal law that requires security for health information in electronic form.
OPIOID INFORMATION
Talk to your health care provider about how to treat your pain and create a safe and effective plan that is right for you. You may click here for important information regarding the use of prescribed opioids.
OTHER IMPORTANT INFORMATION
Limited English Proficiency (LEP)