Patients and prospective patients can review service bundle information related to pricing at the Agency for Health Care Administration’s website http://pricing.floridahealthfinder.gov. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services. The actual costs will be based on services actually provided to the patient. Patients and prospective patients have the right to request a personalized estimate from the Center.

Services may be 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.

The following external laboratories may be used by Ocala Eye for pathology needs. Please visit the specified links for a list of their in-network health care plans.

It is our goal to inform our patients of their financial obligations prior to surgery, so there are no surprises or misunderstandings.  Upon a patient’s request, a Personalized Financial Estimate will be provided in writing.

Collection Procedure  –  Ocala Eye Surgery Center confirms insurance coverage and collects estimated co-payments, unmet deductibles, and co-insurance amounts prior to surgery.   Checks should be made payable to Ocala Eye Surgery Center.  We accept cash, check, Visa, MasterCard, Discover and American Express.  Financing is also available through Care Credit.  Patients may request a payment plan by contacting our Billing Department.

Our Charity Care Policy is to provide free surgical services in conjunction with the Marion County We Care Program. Please contact our Billing Department or the We Care Program directly at (352) 732-6599.

Our Financial Assistance Policy is to refer patients to community-based resources for their benefit including the Division of Blind Services, Medicaid Services and the We Care Program.

Ocala Eye Surgery Center understands that insurance coverage and provider networks can be complicated for our patients. Please contact the Billing Department at (352) 622-5183 with any questions or concerns. We are here to help.

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the healthcare provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate and the bill.

Your Rights and Protections Against Surprise Medical Bills 

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?​

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:​

Emergency Services ​
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balanced billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balanced billed for these post stabilization services.

Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.

You are never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

Florida also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency and non-emergency services. For more information about your specific rights under Florida law, visit www.floir.com/index.aspx.

When balance billing isn’t allowed, you also have the following protections:

You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

Your health plan generally must:

• Cover emergency services without requiring you to get approval for services in advance (prior authorization).
• Cover emergency services by out-of-network providers.
• Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
• Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you think you have been wrongly billed, contact the Centers for Medicare & Medicaid Services (CMS)

• Centers for Medicare & Medicaid Services phone: 800-985-305​9
• Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
• Visit www.floir.com/index.aspx for more information about your rights under Florida law.