EyeCare Associates, PC
Financial Policy and Insurance Filing Procedures
Payment is due for all services when the services are performed. If you foresee that you will be unable to remit the total amount due at the time of service, you must contact our office and make payment arrangements prior to receiving services. We reserve the right to reschedule your appointment until funds are available.
All accounts that remain unpaid for a period of 90 days will be reviewed and are subject to our collection procedures. If your account is submitted to a collection agency, you are responsible for all costs incurred during the collection process. If you have made payment arrangements, all payments must be made based on the terms of the arrangement. Failure to comply with the terms of your arrangement will result in a termination of the agreement and submission of your account for collections.
Payment for eyeglasses and contact lenses is expected prior to delivery into your possession. All eyeglass purchases require a 50% deposit to initiate the order. The remaining balance is due when you pick-up your glasses. Except in the case of specialty lenses, contact lenses may be ordered without a deposit. Payment is expected when you receive the materials. Contacts that are to be direct shipped to your residence must be paid-in-full prior to an order being placed. You may be responsible for additional shipping costs if you choose this method of delivery.
Our office accepts cash, check, Visa, MasterCard, Discover, and many insurance plans.
Medical and Vision Insurance Policy:
Our optometrists are panel providers for many medical and vision insurance plans. We will gladly submit claims for eligible expenses on your behalf to all plans that we accept. It is your responsibility to make inquires about plan participation before services are rendered. If you are using your insurance benefits to cover a portion of your balance, all co-payments, co-insurance, and deductible amounts are due on the day you receive services. Once your claim has processed, you may be billed for additional amounts not covered by your insurance company. If a balance is transferred to your account, you are required to submit payment for the services. Failure to pay the remainder of your charges within 90 days from the time the balance is transferred to your account or to set up payment arrangements will result in the submission of your account to a collection agency and subject to the terms discussed in the company’s Payment Policy.
Insurance Filing Procedure:
It is important that we collect your medical and vision insurance information prior to your examination. Routine vision insurance will be used if you have no pre-existing or current medical conditions that can affect the health of your eyes. If your appointment is for an eye problem (redness, dryness, flashes, etc.), for which a covered medical diagnosis is made, your visit will be billed to your medical insurance policy and subject to all co-payments, co-insurance, and deductible amounts required by that policy.
If you have been diagnosed with a medical condition (diabetes, glaucoma, macular degeneration, cataracts, etc.), your examination will also be billed to your medical insurance.
Depending on your insurance, we may be able to coordinate coverage between your medical and routine vision plans. This will, in many instances, reduce the amount you would have to pay for services.
Use of Diagnostic and Imaging Procedures:
Our optometrists frequently use diagnostic testing and imaging procedures to aid in the diagnosis and treatment of medical conditions. Many times, these services will be performed on the same date as your comprehensive eye examination. The cost of these additional services is not included in the amount charged for the comprehensive eye examination. Payment for these procedures is expected at the time service is rendered.
If you plan to use insurance coverage to pay for these procedures, our staff will work with your insurance provider to estimate your cost for the services; however, the amount collected is only an estimate. All claims are subject to the terms of your insurance policy. These services may be subject to your deductible or require additional co-payment or co-insurance amounts above what is collected at the time of service. Additional charges are your responsibility.
Notice of Refraction Charges:
Refraction is the procedure in which we determine the best corrected visual acuity of each eye for purposes of medical evaluation or for prescribing spectacles or contact lenses. For many insurances, including MEDICARE, there is no provision for coverage of this procedure and there is no indication that it will become a covered service anytime in the future.
Refraction is necessary to adequately determine visual function and is important in determining if serious underlying eye problems exist. We perform refractions as a part of all of our comprehensive eye evaluations and following cataract surgery. This service is not optional and will be performed with your understanding that you are responsible for the charges.
Currently, our fee for this service is $25.00. We trust that you will understand the need to perform this procedure. Unless your insurance explicitly provides coverage for the refraction, you are responsible for payment. If you make payment and your insurance covers the service, you will be reimbursed the full amount paid.
Acknowledgement and Assignment of Insurance Plan Benefits:
I acknowledgement that I have received and reviewed the EyeCare Associates, PC Financial Policy and Insurance Filing Procedures. All of my questions have been answered in an understandable manner. I request that payment of the authorized Medicare and insurance benefits be made either to me or on my behalf to EyeCare Associates, PC. For any services furnished to me by that entity, I authorize any holder of medical information about me to release to the Healthcare Financing Administration or the appropriate insurance companies and agents any information needed to determine these benefits or the benefits payable for related services. Any charges incurred during treatment and determined to be my responsibility must be paid-in-full within 90 days of that determination.