Title XXIX Public Health: Chapter 395, Hospital Licensing and Regulation

Billing, Financial Assistance and Quality Information

Apalachee Center, Inc. Financial Policy

Apalachee Center, Inc. dba Eastside Psychiatric Hospital (EPH)is committed to meeting the behavioral health care needs of the community. As a not-for-profit system, EPH provides non-elective services to patients without regard to financial status or ability to pay. At the same time, EPH relies on income from patients to reinvest in clinical programs aimed at promoting the health of the community. We ask that you cooperate in meeting your financial obligation to EPH. However, if you anticipate any difficulty in paying your hospital bill, or if you would like to apply for financial assistance as outlined below, please contact

Insurance and Billing
2634 Capital Circle N. E.
Tallahassee, Florida 32308
850-523-3242 or
Monday through Friday
8:30 – 4 p.m.

Service Bundles

Service bundles are non-personalized estimates of costs that may be incurred for hospital services, and include all components of care, such as physician, ancillary and hospital payments. Actual costs will be based on services actually provided and may be more or less than the estimates found on FloridaHealthPriceFinder.com. For information on service bundles, please visit FloridaHealthPriceFinder.com.

If you would like to receive a personalized estimate, please contact a representative at (850) 523-3242.

What Happens After I Receive Services At EPH?

Once you receive services, charges will be entered on your account based on the services you received. These charges will be based on amounts generally billed to private insurance carriers for inpatient behavioral health services, as well as government payors such as Medicare and Medicaid. If you provided insurance information at the time of service, a claim will be submitted to your insurance company. Once your insurance company has processed the claim, you will receive a statement for any patient balance due. If you have questions when you receive your statement, please contact Insurance and Billing. If you are unable to pay in full, a payment plan may be established. If you are unable to make any payment, you may qualify for financial assistance, as outlined below.

What Types of Insurance Does EPH Accept?

Eastside Psychiatric Hospital accepts a wide variety of insurances. If EPH is a participating provider and you are a Member of a commercial insurance program, a Medicaid managed care organization, or a Medicare Advantage Plan, your payor will receive a discount based on its contract with EPH. Any amount indicated as patient responsibility will be billed to you after insurance payment. If EPH is not contracted with your insurance company, you will be responsible for any amount not paid by your plan. Remember that your plan is a contract between you and your insurance company. We will make every effort to bill your insurance and work with your insurance company, however, you are ultimately responsible for your bill with EPH.

Please note that hospitals may not be included in all health plan product offerings. Please check with your insurance company for more information.

In addition to commercial insurance plans, EPH participates with Medicare, Medicaid, Tricare, and other government-sponsored programs. Regardless of the type of coverage, please be sure to provide an insurance card at admission so a claim may be submitted to your plan. If we are not notified of your insurance at the time of service, penalties may be applied for late notification. It is your responsibility to ensure we have accurate, current insurance information on file. If you need to provide insurance information after service, please contact Billing and Insurance.

Commercial Insurance, Medicaid Managed Care and Medicare Advantage Plans Accepted

Please see the list below of insurance plans accepted at Eastside Psychiatric Hospital. If you do not see your insurance plan listed, please call us at 850-523-3242 to see if we accept your plan.

Aetna
Beech Street
Blue Cross/Blue Shield of Florida
Capital Health Plan
ChoiceCare (Humana)
Cigna Healthcare of Florida
Cigna Behavioral Health
CMS Medicaid
Humana Military (Tricare)
Magellan Behavioral Health
Medicare
New Directions Behavioral Health
Prestige Health Choice
Private Healthcare Systems
Simply Health Plans
United Behavioral Health
United HealthCare of Florida
Value Options
WellCare Health Plans

What If I Don’t Have Insurance?

Eastside Psychiatric Hospital provides medically-necessary services to patients without regard to their ability to pay. If you do not have insurance, you may receive a discount, which will be reflected on your first statement. You may also be eligible for financial assistance. We have representatives available to assist you with managing your hospital bill. Please contact Insurance and Billing with any questions.

Hospital Sponsored Financial Assistance Program

The Hospital Sponsored Financial Assistance Program (FAP) is available for uninsured and underinsured patients. The FAP is a free care and sliding scale discount program based on the patient’s family income and household size. Uninsured and underinsured patients with family incomes at or below 200% of the Federal Poverty Guidelines (FPG) are eligible for 100% charity. Uninsured and underinsured patients with family incomes between 200-300% of the FPG are eligible for discounted care that will be determined by household income and family size.

Financial Assistance Program Application Process

  • The Inpatient Financial Assistance Application will be used as the application form for the process.
  • One witnessed signature is required on the application (the patient, guardian, or legal representative).
  • Proof of income will be required for approval.
  • All FAP applications and records will be scanned and retained for a minimum of 3 years.

Forms and Policies

Non-Covered Services

  • Non-medically necessary services, without extenuating circumstancesThe following websites include quality measures that are reported to the public by organizations such as the Centers for Medicare & Medicaid Services (CMS), and the Florida Agency for Healthcare Administration.

Quality Measures

Questions, Concerns and Complaints

For Additional Information

Please contact Billing and Insurance with any questions regarding the Financial Assistance Program. Normal business hours are 8:30 – 4 pm, Monday-Friday.

Billing and Insurance
850-523-3242

Mailing Address
EPH Business Office
2634 Capital Circle N.E.
Tallahassee, Florida 32308

Accreditation


Accredited by the Joint Commission

Crisis Resources

Apalachee Center:
Central Receiving Facility (CRF)

850-523-3483 / 1-800-342-0774

Big Bend 211:
850-617-6333 / 850-921-4020 TTY (Hearing/Speech Impaired)

Suicide Prevention Hotline:
1-800-273-8255 (TALK)

Emergency: Dial 911

Office Information

OUT PATIENT:
Monday - Friday: 8:00 a.m. – 5:00 p.m.

Psychosocial Rehabilitation (PSR):
Monday - Friday: 8:00 a.m. – 2:00 p.m.

FORENSICS:
24 hours a day, 7 days a week.

F.A.C.T.:
Monday - Friday: 8:00 a.m. – 5:00 p.m.
Additional After Hours Services Available

Primary Care:
Leon Outpatient M-F - 8:00am – 5:00pm
Gadsden Outpatient M-F - 8:00am – 5:00pm

PHONE: (850) 523-3333

Administration:
2634 Capital Circle NE - Bldg. J
Tallahassee, Florida 32308
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