Fee and Payment Policies
Full payment for services received is due at the time the services are rendered, including all co-payments, co-insurances, deductibles, and/or non-covered services.
“Accept Assignment” still requires you to pay all co-payments, co-insurances, deductibles, and non-covered services. Insurance plans differ on coverage and amounts covered. Please check with your insurance company for the out-of-pocket you may be required to pay. Payment will be required at the conclusion of your visit.
Refraction (the determination of your eyeglass prescription) may not be a covered service.
Most insurance carriers do not cover this procedure. A refraction is a test that measures your best possible vision. During the test, lenses are placed in front of your eyes and the patient is asked, “which is better—one or two?” A refraction is a separate procedure that measures your ability to see and determine if you need new glasses or if you need a change in your current glasses. It will also determine if you need bifocals. It is typically performed during both a routine exam as well as part of an evaluation and monitoring of a medical condition such as diabetes, cataracts, glaucoma, dry eye, or macular degeneration.
Contact lens fitting and/or evaluation are not part of a routine examination.
Your insurance may not pay for this service. There may be a separate fee depending upon your individual insurance coverage.
If your insurance plan requires a referral, that referral must be obtained prior to services being rendered.
You will be responsible for payment if the referral is not obtained in advance. We request that you provide us with your complete and updated insurance information at the time of your initial and all subsequent visits.
Returned checks are subject to a $20 fee.
Balances owed after 90 days
Balances owed after 90 days may incur a billing fee as well as an administrative fee until balances are paid in full. If your account goes into collection, you are responsible for the original charges and any expenses this office or the collection agency incurs collecting them. If you are having financial difficulties, please contact us as soon as possible.
If you have questions or need assistance with your bill, our Patient Financial Services Representatives may assist you with information, payment arrangements, and insurance billing problem resolution. Contact Patient Financial Services at (866) 905-4477, Monday through Friday, 9 a.m. to 5 p.m.