Insurance Billing
The health of your eyes is important to Specialty Eyecarè Centre, and we make every effort to make it easy for our patients to see their doctor. We participate with most insurance plans, and we will be happy to submit your insurance claims for you. In order for Specialty Eyecarè Centre to bill accurately, please bring your current insurance card and inform us if you change insurance coverage, marital status, or if your address and telephone number changes.
At Specialty Eyecarè Centre, we understand how confusing medical coverage can be for our patients. We do not want this process to create stress for you and your family. In an effort to assist you in a seamless visit, the following information has been provided to you. Please read the details below carefully prior to your visit.
To ask a billing or insurance related question, click here to contact us
Health Insurance for Medical Coverage
While Specialty Eyecarè Centre is available to answer questions you may have concerning insurance coverage, it is important to understand that your medical coverage is between you and your health insurance company. You are responsible to be aware of the details of your plan. Having the specific information required for your insurance plan will facilitate your appointment and allow for a stress free visit upon arrival in our office. When a referral from your primary care physician is needed, contact your plan and have the following information before your appointment:
Please provide us the number of visits or time frame we are allowed to see you
Please provide us the billing referral number from your insurance company for our paperwork to file your claim.
Pre Authorization for Medical Coverage
Some insurance programs require a pre-authorization before ophthalmology services and procedures. Check your benefits book or website to find out what is needed for your appointment. This is very important because if your visit is not authorized, you will need to pay for all the services you receive from us.
The Co-Pay, Deductible and Co-Insurance
The co-pay applies to the co-insurance amount and is due at time of service. We apply it against any co-insurance you may owe. The co-insurance is the percent you are asked to pay for your medical care. It is often 20%. The deductible is the amount you are required to pay for your medical coverage before your insurance pays their portion.
The Responsible Party
If you are the patient but someone else is responsible for the payment of your bill through their insurance policy, this person must accompany you and bring their insurance card, provide their address, and telephone number. If they do not, we will be required to ask you for payment at the time you arrive.
The Difference between Medical Eye Care and Vision Care
Your appointment is considered a Medical Eye Care appointment when you have a specific complaint about your vision and when we are managing your vision associated with a specific eye-related disease, for pre-surgery, surgery and post-op care.
Your appointment is considered vision care when it is to adjust the prescription of your glasses or contact lenses and for your annual vision eye exam. Vision Care is not covered by most insurance companies, and you will be responsible for all charges at the time you are seen. We do not currently accept any Vision Care Plans.
Forms of Payment
We accept cash, check, money-order and Visa, MasterCard, American Express
