Surgery Center FAQ

Yes, the facility will file your insurance claim. We will also file your secondary insurance as a courtesy. You will be responsible for any co-payments, coinsurance, and /or deductibles.

Yes, the facility participates with Medicare.

Yes, Suncoast Surgery Center is accredited by AAAHC (Accreditation Association for Ambulatory Health Care).  The Facility is owned and operated by Jonathan Frantz, M.D.

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.

Frantz EyeCare – All Surgeons Charges
9617 Gulf Research Lane
Fort Myers, FL 33912
PH: 239-418-0262

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 that will analyze tissue your physician may require to be sent to the laboratory to diagnose your condition.

You may also receive an invoice for anesthesia services rendered by Anesthesia Plus Services. You can contact them directly in regards to the health plans they participate in.

Anesthesia Plus Services
6241 Arc Way
Ft Myers FL 33966
1-800-437-5179

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.

If tissue is sent out for evaluation you may receive an additional bill from the laboratory. The pathology labs we send the tissue to for analysis include:

Ameripath Southwest Florida
1620 Medical Lane Suite 100
Fort Myers, FL 33907
239-275-1164
www.ameripath.com

The insurance department at Frantz Eyecare/Suncoast Surgery Center will contact your insurance company to obtain a pre-authorization. However, we do request that you contact your primary care physician upon leaving our office and let them know the date, time, and type of procedure you will be having. This will help meet the requirements of advanced notification to your primary care physician’s office.

Most insurance companies pay claims within 45 days of your procedure date. If you have not received notification from your insurance company within the time frame, you should contact your insurance carrier to assure prompt payment.

Patients and prospective patients:  the service bundle information provided is a non-personalized estimate of costs that may be incurred by the patient for anticipated services however, actual costs will be based on services actually provided to the patient. More information about pricing can be found here: https://pricing.floridahealthfinder.gov/

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; 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. For more information on Florida Transparency Act of 2016 click here.

Yes. However, payment arrangements are granted based on financial need. In order for the facility to properly evaluate your individual needs, you must contact the Central Business Office at 239 418-0262.

Patient Rights Under Florida Transparency Act of 2016.

Services Provided by Suncoast Surgery Center, a state licensed health care facility.

Suncoast 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, 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.

Click Here to see a list of all the health insurance plans and HMO’s contracted as a participating provider or network provider for the surgery center.

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.

Collections

Prior to your scheduled procedure, we will contact you with the results of the verification of your insurance benefits to advise 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.

If we received 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 15 days of notification of the balance due. Failure to pay the balance due by the deadline will result in your account being turned over to a collection agency.

If you have notified us in advance that you have no insurance and will pay cash for your procedure, you may be eligible to receive a discount off the usual charge for payment of your estimated charges in advance of the scheduled procedure. You must attest that you have no insurance and you must pay the full estimated charges in advance. If the procedure performed by your physician differs from the one scheduled, you may owe the difference between the scheduled procedure and the actual procedure performed. The balance, if any, will be due within 15 days. Failure to pay the balance will result in the discount arrangement being null and void and a full payment will be due.

Additional Information

Suncoast Surgery Center is accredited by Accreditation Association for Ambulatory Health Care, Inc.

The following link is for the performance outcome and financial data that is published by the Agency for Health Care Administration.

If you have a safety or quality of concern issue that are not resolved at Suncoast Surgery Center, Inc., you may contact The Accreditation Association at www.aaahc.org for the website.

Mailing Address:
Accreditation Association for Ambulatory Healthcare, Inc
5250 Old Orchard Road, Suite 200
Skokie Il 60077
847-853-6060