WHY DID I RECEIVE A BILL?

 

There are two main types of insurance that may be billed when visiting the eye doctor, VISION and MEDICAL insurance. Each is used as determined by the patients "reason for service" or chief complaint. If you are scheduling a comprehensive eye exam and are generally healthy, your vision insurance will be used as this service cover a general wellness screening and refraction or check for glasses. If the doctor is managing medical conditions such as diabetes, glaucoma, macular degeneration, cataracts... etc, your medical insurance may be billed as these diagnosis fall outside of vision coverage and are handled by your better-known medical insurance such as Humana, Aetna, Blue Cross, etc. Your practitioner should review which insurance are being billed at the time of visit so that you are aware of any copay or deductibles required at the time of visit.

Vision Insurance Covers:

  • Refraction (Glasses Prescription)

  • Contact lenses (Not always covered)

  • General eye health check

  • Retinal examination

Medical Insurance Covers:

  • Diabetic Eye Exams

  • Management for cataracts

  • Glaucoma management for those diagnosed or who are at risk for glaucoma

  • Management for macular degeneration

  • Other medical complaints and diagnosis such as dry eye, retinal problems, eye pain, abrasions, etc.

If you received a bill from our office it is most likely related to the use of MEDICAL insurance in the form of a COPAY or DEDUCTIBLE.

WHY DO I HAVE TO PAY FOR A DEDUCTIBLE or COPAY?

 

If your statement balance is marked due to a deductible or copay, you will have received an "Explanation of Benefits" document from your medical insurance stating the obligated payment you are required to make to your health care practitioner as per each individual or families medical insurance contract. Deductibles are contractually agreed amounts you must pay out of pocket before the insurance will disburse any payment. Failure to make payments for deductibles mean that your doctor and staff are not getting paid for services they provided. As a result, some practitioners will require payment before they will agree to see you for another examination. If you have questions about the amount you are being asked to remit, please contact our office at 2156282020 so we can further assist you.

*Please note* all balances are subject to be sent to collections agencies if payments are not received within 60 days of the statement date unless otherwise agreed upon by your provider.

  • Instagram Social Icon

©2018 BY PROVISION EYE ASSOCIATES