It is always beneficial to contact your insurance company to determine what your benefit plan is. It is the responsibility of the policy holder to know their deductible, co-insurance and co-payments. We will collect the applicable deductible, co-payment or co-insurance amount at the time of service. If you are unable to pay your account in full, a payment plan may be available to you.
To set up a payment plan, please contact one of the numbers below:
Pediatric Physician Services
PPS Cardiovascular Surgery
West Coast Neonatology
In order to assist patients and families with their financial obligations, we have established the following parameters to pay balances they may owe. These payments plans do not charge interest and are a convenience we offer to families to enable them to pay their bills.
||Maximum Repayment Term (in months)
||Minimum Monthly Payment
|50.00 or less
||Pay in Full within 30 days
||Payment in Full within 30 days
||If exceeds 24 months, contact business office: 800-880-2056
To calculate the monthly installment, both the minimum monthly payment and Maximum Repayment Term criteria must be satisfied.
For example, if the patient has a balance of $2,150 to pay off. This results in a monthly payment of $125.00 for 10 months. The matrix shows that a balance of $1,250.00 requires a minimum monthly payment of $125.00. Dividing $1,250 by $125.00 results in 10 months, which is within the maximum Repayment term (12 months).
Self-Pay Collections Policy
For self pay balances and self pay balances after insurance processing, please review our Self-Pay Collections Policy (PDF).
ACH is committed to providing financial assistance to persons who have health care needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual financial situation.
If you are unable to pay for necessary medical care, you may qualify for financial assistance based on the criteria listed below.
- Have applied for Medical Assistance and do not meet eligibility requirements.
- The patient must be a United States of America citizens or permanent resident (must have resided in the U.S.A. for a minimum of one year).
- The patient/family must have been a resident of the state of Florida for the past six (6) months.
- Have exhausted all insurance options.
- Complete Financial Assistance Application and provide all required documentation.
- Meet the financial guidelines based upon your income, assets and outstanding debt.
To determine if you are eligible for financial assistance, please review our financial assistance policy (en Español) and fill out the following forms:
Submit completed Applications and the Patient Profile Questionnaire to the following location:
Johns Hopkins All Children's Hospital
501 6th Avenue South, D#9050
St. Petersburg, FL 33701
If you have questions, please call the Business Office at 727-767-4410.