We participate with many different Medical Insurance Companies. Contact your insurance company prior to your visit to ascertain if you need a referral, have coverage for the type of service you have scheduled and if you have a deductible and/or copay amount. The phone number is on your insurance card. Always bring your insurance card at the time of your visit. Most insurance companies issue a card for each member of the family. We must have a copy of the patient’s insurance card, not the mother, father, sister or brother’s insurance card.
- If your insurance plan requires a referral, it is your responsibility to contact your primary medical doctor to request a referral prior to your visit. Unfortunately, insurance companies do not allow the doctor to see you if we do not have the required referral at the time of your visit.
- Some insurance plans do not require referrals from your primary doctor.
- If your insurance plan requires deductibles for office visits, testing or outpatient surgery, we will collect your deductible at the time of your service.
- If your insurance plan requires that you pay a copay every time you see the doctor, we will collect your copay at the time of your service.
Below is a list of our participating Medical Insurance plans:
- Aetna Healthplans
- Amerihealth Administrators
- Cigna PPO and Healthspring
- Coventry Healthcare PA PPO/Health America
- Highmark Blue Shield
- Humana PPO Choice Care Network
- Keystone First Healthplan
- Keystone Healthplan East & Keystone 65
- Medicare and Railroad Medicare, and secondaries to Medicare
- Independence Blue Cross Personal Choice, Personal Choice 65, Independence Administrators
- United Healthcare PPO, Erickson, UHC Compass, Oxford
- Wellnet and Tricare
- Others: First Health, Multiplan, Assurant, Wellnet, Meritain, Golden Rule
Our Office Accepts Medicare Assignment
We accept the amount Medicare approves for your office charges. Medicare pays 80 percent of the amount they approve for each charge after your annual deductible is met. The patient is responsible for payment of the deductible and 20 percent if secondary insurance is not available
A refraction is a non-covered Medicare expense
A refraction is when the doctor checks to see if you need a new eyeglass prescription or a change in your current eyeglass prescription. This charge is not deemed medically necessary by Medicare and payment for the refraction is expected at the time of your visit. Your Medicare handbook provides additional information regarding non-covered expenses.
The annual Medicare deductible will be assessed from the first charges that Medicare receives each calendar year. The annual Medicare deductible is your expense.
If your Medicare deductible has not been met in full prior to your visit, we will collect the Medicare allowance for the services performed.
You will not be required to pay the Medicare deductible if you have the following insurances:
The 20 Percent Due After The Medicare Payment
We inform Medicare of the supplemental insurance information that you provide to us. Medicare forwards an explanation of benefits to all supplemental insurers with which there is an automatic crossover arrangement. If your supplemental insurance does not have automatic crossover setup with Medicare, you will need to submit a copy of your Medicare explanation of benefits to your insurance for your reimbursement.
Medicare guidelines do not allow our office to waive any charges stated as patient expense
We request that payment be made to us upon receipt of our statement. You will receive only one statement.
It is our pleasure to welcome you! We provide the best care possible to each of our patients, including emergency patients. We value your time and have appointments to accommodate you.Initial exams usually require dilating eye drops that enlarge your pupils and may cause light sensitivity or blurred vision. Please arrange to have another person drive you home from your office visit.
New patients will be asked for each of the following on their first visit:
Your insurance card.
- Managed care insurance policies state that you need a referral at the time of your visit; otherwise, we will not be authorized to see you. Please call your primary physician for an HMO referral if you are coming for a medical eye evaluation (versus a routine eye examination). Visit our “Insurance and Financial” section for further information.
- Co-payment and deductibles will be collected at the time of your visit. We accept MasterCard and Visa credit cards, checks, and cash.
- Our office requires the completion of a “New Patient Form”, which can be downloaded and filled out before your appointment.
Our doctors provide routine eye exams and medical eye exams. (Visit our “Services” section for detailed information.)
What is a refraction, a medical eye exam, and a routine eye exam?
A refraction is an evaluation with corrective lenses to determine if there is a need for glasses or to change an existing glass prescription.
- A medical eye exam is the evaluation of conditions such as glaucoma, cataracts, macular degeneration, and diabetic retinopathy. A medical eye exam does not include a refraction.
- A routine eye exam combines a medical eye exam and a refraction. (Please visit our “Services” section.)
Click the link below to download out new patient form.
Patient Financial Responsibility
We participate with many insurance plans. Please be familiar with your insurance coverage. Some of your services may not be covered at the time of your visit. Please contact your insurance company to verify coverage for the type of services that you scheduled in our office.
Some insurance companies require a referral from the primary doctor prior to your visit in our office.
Co-pays and deductibles will be collected at the time of your visit.
Medicare patients will be required to pay their deductible and 20 percent
co-payment if secondary insurance is not available.
Payment in full is expected at the time of service for all services not covered by your insurance.
We accept cash, check, Mastercard or Visa credit cards for services rendered.
A return check fee will be charged to you if your check is returned from your bank for insufficient funds or bank account issues.
There is a medical record fee when a copy of your medical records is requested by you or someone else. The fee includes a retrieval fee, per-page copy fee, plus the cost of postage when records are to be mailed.