Patient Rights Under Florida Transparency Act of 2016
PATIENT PRICE ESTIMATE REQUEST INFORMATION:
In the case of financial hardship there may be ways to reduce a patient’s financial responsibility for services rendered by the surgery center. Please contact our facility’s business office at (352) 244-0677 for further information on our policies.
All patients who are scheduled for a procedure receive a Financial Advance Notice form during their preoperative visit. This form is an estimating of what we expect your insurance to pay as well as any out of pocket amounts you would owe.
Policy
As a courtesy to our patients, we will file an insurance claim on behalf of the patient to his/her insurance plan. A patient is expected to respond to his/her insurance plan’s request for information timely, as needed, in order to minimize processing delays with the claim.
Patients are expected to pay their financial obligations in a timely manner including the estimated portion by the day services are received, and any remaining portion upon finalization of the claim by the payer. Unpaid claims by the payer may result in the account’s outstanding balance being fully transferred to the patient for collection.
If needed, the center will attempt to reach a patient by any method available to us to secure payment on the outstanding balance utilizing internal and external resources. Beyond us contacting your insurance carrier, you should also contact your insurer or health maintenance organization regarding your cost-sharing responsibilities for having a procedure at our facility- Eye Surgicenter.
Payment Plans
Each patient is expected to pay his/her estimated financial liability on or before the day of service. In the event a patient is unable to pay the estimated liability in full, our surgery center may offer a short term repayment schedule after a minimum down payment is made. Please consult with our surgery center’s business office at (352) 244-0677 for further information.
Other Providers
Services are provided in this health care facility by the facility as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as the facility. Again, we encourage you to contact your insurer or health maintenance organization regarding your cost-sharing responsibilities for having a procedure at our facility – Eye Surgicenter.
Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in this surgery center to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.
Contracted Service Providers
The following providers render services to patients at Eye Surgicenter and the patients should contact them directly if they need further information.
Surgeon
William A. Newsom, MD
Eye Associates of Gainesville
2521 NW 41st Street
Gainesville, FL 32606
(352) 377-7733
Surgeon
Charles P. Sweeney, MD
Eye Associates of Gainesville
2521 NW 41st Street
Gainesville, FL 32606
(352) 377-7733
Anesthesia
Kim Grey
4131 NW 13th Street Suite 101
Gainesville, FL 32609-1858
(352) 376-1887
Patients may access the State of Florida’s Agency for Healthcare Administration website at this link for information about this facility and others: www.floridahealthfinder.gov
The below chart are some of the prices from the above State of Florida link which show the average charge, across all procedures, that area surgery centers charged in 2017.
License Name Average Charges
37 EYE SURGICENTER LLC $1,030.99
246 OCALA EYE SURGERY CENTER $1,223.20
14960582 LASER AND OUTPATIENT SURGERY CENTER $6,189.25
14960402 ORTHOPAEDIC SURGERY CENTER $13,939.10
183 NORTH FLORIDA SURGICAL PAVILION $16,314.61