DISCLOSURES & PRIVACY POLICY
As a patient, you and your designated representative, guardian, next of kin or, if a minor, your parent have the following rights:
- To be treated with respect and dignity with sensitivity to your individual needs. Treatment must be provided regardless of your race, religion, and national origin or, in emergencies, your ability to pay.

- All communications and medical records must be kept private. You must give permission for the release of your records for specific purposes in most cases.

- Personal or medical details of your condition and treatment may not be needlessly disclosed to others at any time. In most cases, you must give permission before anyone not directly involved in your case is given information about you.

- To receive a copy of your bill and to know the charges for each service you receive; which charges are billed separately; what your insurance company has been charged and has paid.

- To be told when and where a practitioner will be available before scheduling any treatment. You must also be told what treatment, if any, may be recommended after leaving the office.

PATIENT RESPONSIBILITIES
- Ask questions
- Respect others
- Plan carefully
- Give full information
- Follow your practitioners instructions
- Keep all appointments
- Pay bills properly
PATIENT FORMS
St. Petersburg Limb & Brace Patient Info Record Page 1
St. Petersburg Limb & Brace Patient Info Record Page 2
St. Petersburg Limb & Brace Patient Notice Of Privacy

INSURANCE CONTRACTS
Aetna
American Medical Solutions
Amerigroup
Beech Street
Blue Cross & Blue Shield
Capp Care
Community Care Network
Evercare
First Health
Focus Healthcare
Gallagher Bassett
Healthease
Homelink Inc.
Humana
Kemper Insurance
Liberty Mutual
Managed Care of America
Medicare
Medicaid
Northwood NPN
Summitt Health Care
Tri Care (Champus)
United Health Care
Well Care/Staywell
Zone Care


We are constantly updating our Managed Care Plans. Please inquire as to our participation in your Healthcare plan. We may very well be participating.

INSURANCE AND AFFILIATIONS
St. Pete Limb & Brace accepts Medicare, MediCaid, Blue Cross and Blue Shield, as well as most other insurance carriers. Prior authorization is required in order to alert the patient if they have any financial liability before commencing with their device.

St. Pete Limb and Brace is affiliated with the following hospitals: Bayfront Medical Center, St. Anthony's Hospital, Edward White Hospital, St. Petersburg General, Northside, and Palms of Pasadena.
mailto:info@stpetelimbandbrace.com