Policy
Hello! Thank you for choosing our office for your eye care needs. We are looking forward to seeing you!
Please read the information below so that your first visit to us is a great one.
Did you download all the forms you need to bring? If you did already - Super! If not yet, please re-visit the Patient Forms page. You will need to bring with you the Medical History [2 pgs], Patient Information [2 pgs] and Hippa Signature Page. This will allow an easier check-in for you, on the day of your appointment. Please also advise the Prescreener if you are interested in being fit for Contacts or want to discuss Laser Vision Correction during your visit.
Our office makes every effort to run on time. There are, from time to time, emergency patients that interrupt an otherwise smooth running day. We appreciate your understanding and patience when this occurs. Our staff will try to have the impact to your schedule be a minimal one.
Children under 18:
All children must be accompanied by an adult who is able to make financial decisions for the child. That accompanying adult will be asked to go with the child into the prescreen area, exam room, and dispensary/contact lens room.
Should you need to cancel your scheduled appointment, we require at least 24 hours notice. If you cancel your appointment and give less than 24 hr. notice, you may be billed a $25 cancellation fee. Vision Therapy appointments require at least 48 hour cancellation notification. Please refer to the information [given to you when you set up you appointment for Vision Therapy] for the cancellation fee amounts.
Copayments:
It is the patient’s responsibility to know the correct copayment amount for the services rendered. We are considered a “specialist”. Your copay is due at time of visit. If your insurance company informs us of an amount different from the copay collected from you at the time of the visit, you will receive a bill requesting the additional copay amount.
If you have any questions about your upcoming appointment and your copay amounts or the length of time you should allow for the visit, please speak with a staff member.
Payment Policy:
Our office accepts Cash, Personal/Business Check, Money Orders, Mastercard, Visa, and Discover Credit Cards and debit cards as payment.
Please be prepared to pay your examination services or copayments for exam services the day services are rendered.
We appreciate your cooperation with this.
We require a deposit of 50% on glasses or contact lens orders to place your order. The balance of the materials ordered is due upon delivery. Please speak with Claudia if you need accommodations to this policy.
Medicare Patients:
You are responsible for making sure that Medicare recognizes and crosses over to your secondary insurance. Our office is unable to submit on paper to your secondary insurance on your behalf. If you do not have a secondary to Medicare, you are responsible for 20% of the services submitted to Medicare, at the time the services are rendered.
You are additionally responsible for knowing if you have met your annual deductible (each January). In January and February, we collect the U&C charges from patients, so that the deductible will be met sooner.
It can take up to 4 months for coordination of benefits, and a response from your secondary with a payment, or denial. We welcome you to speak with your secondary insurance carrier, if you feel it has been a long time, with no response or payment.
