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the eye institute of west florida

Largo Ambulatory Surgery Center

Outside of Our Surgery CenterThe Largo Ambulatory Surgery Center is the premier ophthalmology surgery center of Pinellas County. It is designed specifically for the treatment of eye diseases and disorders. We provide safe and cost-effective care in each field of ophthalmology along with the most advanced technology for the best possible results.

Our Surgery Center is attached to our Largo office location. This makes it easy for patients to receive the pre-surgery consultations, surgery and post-surgery follow up care all under one roof. Learn more at “What to Expect if You Need Surgery”.

Accredited by AHCA and AAAHC

The Largo Ambulatory Surgery Center is dual certified by the Agency for Health Care Administration (AHCA) as well as the Accreditation Association for Ambulatory Health Care (AAAHC). This accreditation distinguishes our surgical center from many other outpatient surgical facilities by providing a safe work environment and the highest quality of care to its patients.

Status as an accredited organization means the Largo Ambulatory Surgery Center has met nationally recognized standards for the provision of quality health care, set by the Accreditation Association.

“We believe our patients deserve the best,” says Helen Smith, Director of Administration. “When you see our certificate of accreditation, you will know that the AAAHC, an independent, not-for-profit organization, has closely examined our facility and procedures. It means that we as an organization care enough about our patients to strive for the highest care possible.”

Patient satisfaction is the cornerstone of our philosophy. Our surveys assure us that our patients receive personal and friendly care. We look forward to helping patients see and feel their best.

Financing

Patient Rights Under Florida Transparency Act of 2016
SERVICES PROVIDED BY ASC SURGERY CENTER, A STATE LICENSED HEALTH CARE FACILITY
The Largo Ambulatory Surgery Center schedules patient care when your physician schedules a procedure for you at this surgery center. The facility has one fee that covers the following items: Nursing, technician and related services; use of the facility; testing for certain lab tests performed at the surgery center such as glucose (blood sugar), pregnancy, and hemoglobin; medications administered before, during and after your surgery while in the facility; surgical supplies used by the physician and staff; equipment used in the facility; surgical dressings; implants except those specifically classified as premium implants that require additional patient payment.

Separate Providers

Services may be provided in this facility by the facility as well as by other health care providers who may separately bill the patient. Those separate health care providers may or may not participate with the same health insurers or health maintenance organizations (HMOs) as this facility. Patients and prospective patients should contact each health care provider who will provide services in the facility to determine the health insurers and HMOs with which the provider participates as a network provider or preferred provider.

Another health care provider who will bill you for services includes your physician performing the procedure. Other providers who will bill separately if they provide you with health care services in this surgery center include an anesthesia provider who delivers anesthesia services to you at the facility and a pathology provider and laboratory which will analyze tissue your physician may require to be sent to the laboratory to diagnose your condition.

Anesthesia Providers

You can contact the facility’s anesthesia providers about whether they participate in your health plan. The anesthesia providers are

Name of anesthesia provider group: GSM/ MGSI LLC
Mailing address: 2810 W St. Isabel St., Suite 201 Tampa, FL 33607
Telephone number: 813-890-8004

Pathology Laboratories
We may be required to send tissue for analysis by a pathology lab contracted with your health plan. Your insurer’s provider network information may include the pathology lab in the insurer’s network of providers. You may want to check with your insurer. Or, you can contact the laboratory directly about whether they participate in your health plan. In rare circumstances, tissues may be sent to a specialized laboratory.

The pathology labs we send the tissue to for analysis include:
Name of pathology lab: Ameripath
Mailing address: 4225 Fowler Avenue Tampa, FL 33617
Telephone number: 813-972-7100
Website: http://www.ameripath.com

Name of pathology lab: Surgical Pathologies Laboratories, Richard Degregorio, MD., P.A.
Mailing address: 8455-66th Street North Pinellas Park, FL 33781
Telephone number: 727-545-2339, 800-304-1066
Website: http://www.surgicalpathlabs.com/

Name of pathology lab: BayCare Laboratories
Mailing address: 455 Pinellas St. Clearwater, FL 33756
Telephone number: 800-324-7853
Website: https://baycare.org/services/laboratories?hcmacid=a0Z1a000001oKePEAU

Name of pathology lab: Bascom Palmer Microbiology Lab
Mailing address: 900 NW 17th St Miami, FL 33101
Telephone number: 305-326-6034
Website: http://bascompalmer.org/research-cores/ocular-microbiology/contact

Estimate of Charges

Patient or prospective patients may request from this facility and other health care providers an estimate of charges prior to receiving services. We must respond to you within seven days of your request.

Our estimate will be based upon the procedure your physician tells us that he or she plans to perform and the insurance information that you provide to us. We normally will contact your insurer to learn of your eligibility for the procedure and will then base our estimate upon what the insurer tells us about the payment they will make for the procedure. The procedure your physician actually performs may differ from the initial one planned based upon your medical condition at the time of the procedure. Since we cannot forecast the change, the estimate will be based upon the planned procedure as scheduled by your physician.
You may pay less or more for this procedure or service at another facility or in another health care setting.

For price comparison information please visit http://pricing.floridahealthfinder.gov

Financial Assistance Agreements

We only schedule procedures at this facility by physicians who are on the medical staff at the facility.

We will require you complete an application for financial hardship assistance that provides us information about your income and expenses. This will allow us to access your needs and qualifications for special financial assistance. Confirmation of eligibility includes verification of your household income through paycheck stubs, receipts for payment of mortgage or rent and utilities, last year’s tax filing, and information regarding changes since the last tax filing occurred. We follow the most recent poverty guidelines set by the U.S. Department of Health and Human Services. https://liheapch.acf.hhs.gov/profiles/povertytables/FY2016/pop160.htm

Out of Pocket Expenses
With or without insurance there will be charges that the patient will be responsible for which include co-pays, deductibles, and co-insurances. To help with these costs we do accept Wells Fargo and Care Credit medical credit cards.

To apply with either of these cards please visit their websites at:
Wells Fargo Health Financing- https://retailservices.wellsfargo.com/wfha_patient.html
Care Credit Healthcare Financing- http://www.carecredit.com/

Collections
Prior to your scheduled procedure, we will contact you with the results of the verification of your insurance benefits to the advice of your insurance deductible and co-payment amounts that will be due from you prior to your surgery. We expect the amount estimate due to be paid on the day of your surgery when you register at our admission desk.

If you need special consideration for payment of the amount due, you must contact us prior to the date of the planned procedure so we can evaluate your eligibility. You may be eligible to pay your balance monthly over a period of three months. This is based upon your income and expenses that are verified.

If we received a denial of payment from your insurer or Health Maintenance Organization, we will notify you. If we receive payment from your insurer or HMO that is less than projected, we will notify you of additional payment due. Payment will be expected within 30 days of notification of the balance due. Failure to pay the balance due by the deadline may result in your account being turned over to a collection agency.

Language Assistance

Russian
ВНИМАНИЕ: для БЕСПЛАТНОЙ помощи с переводом для русско говорящих звоните по телефону: 1-866-831-8377 (Телетайп: 1-866-831-8377).

Italian
ATTENZIONE: se parli l’italiano puoi usufruire del servizio gratuito di assistenza linguistica nella tua lingua. Telefona al numero 1-866-831-8377 (TTY: 1-866-831-8377).
Korean
주의: 만일 한국어를 하시면, 무료 언어 지원 서비스가 제공됩니다.
1-866-831-8377 (TTY: 1-866-831-8377)로 전화하십시요.

French
ATTENTION: Si vous parlez le Français, les services d’assistance linguistique gratuits, sont à votre disposition.
Contactez: 1- 866-831-8377 – Sourds/muets: 1-866-831-8377

Arabic
تـنـبـيـه: إذا كنت تتحدث اللغة العربية، خدمة المساعدة اللغوية متوفرة مجاناً
(1-866-831-8377 رقم خدمة الصم والبكم ) – 1-866-831-8377 : إتصل بالرقم:

Spanish
ATENCIÓN: Si usted habla Francés Criollo, Servicios de lenguaje están disponibles y sin costo alguno. llame al 1-866-831-8377 (TTY: 1-866-831-8377).

Haitian Creole
ATENCIÓN: Si usted habla Francés Criollo, Servicios de lenguaje están disponibles y sin costo alguno. llame al 1-866-831-8377 (TTY: 1-866-831-8377).

Thai
โปรดทราบ: มีบริการให้ความช่วยเหลือทางภาษาฟรีให้คุณหากคุณพูดภาษาไทย โทร 1-866-831-8377 (TTY: 1-866-831-8377).

Gujarati
ધ્યાન આપો: જો તમે ગુજરાતી બોલોછો, તો ભાષા સહાય સેવા તમને વિના મૂલ્ય ઉપલબ્ધ છે. કૉલ કરો: 1-866-831-8377 (સાંભળી ના શકે તેનાં માટે: 1-866-831-8377).

Tagalog
PAUNAWA: Kung nagsasalita ka ng Tagalog, makakakuha ka ng mga libreng serbisyo sa tulong sa wika. Tumawag sa 1-866-831-8377 (TTY: 1-866-831-8377).

Portuguese
Se você fala Português, estão disponíveis serviços gratuitos de assistente de línguas para você.
Ligue 1-866-831-8377 (TTY: 1-866-831-8377).

Vietnamese
XIN LƯU Ý: Nếu quý vị nói tiếng Việt Nam, thì có dịch vụ trợ giúp thông dịch, miễn phí, cho quý vị. Hãy gọi số 1-866-831-8377 (TTY: 1-866-831-8377).

Polish
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-866-831-8377 (TTY: 1-866-831-8377).

Chinese
注意:如果你说中文,提供给你免费的语言援助服务。电话1-866-831-8377(TTY:1-866-831-8377)。

German
Zur Beachtung: Wenn Sie Deutsch sprechen, steht Ihnen unser Übersetzungsdienst kostenlos zur Verfügung. Unsere Rufnummer: 1-866-831-8377
(TTY-Modus: 1-866-831-8377)

 

 

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