Resources - Patient Forms, Education, First Visit information

PATIENT FORMS

Patient Personal Information Patient Health History HIPAA (Health Insurance Portability and Accountability Act)Records Release Consent to Treatment of a Child

EDUCATION

First visit

Plan to arrive a few minutes before your appointment time in order to complete necessary paperwork. If you prefer, you may download the forms to complete ahead of time and bring to your appointment. Please also bring a list of all current medications and your insurance card.

Routine ocular examinations typically include a refraction test to help the doctor determine if you need prescription lenses, as well as what prescription you need in order to see properly. Refractions also help your doctor diagnose certain eye conditions. First visits typically take up to two hours, depending on the doctor, number of tests and complexity of tests required. Most people are able to drive safely after having their eyes dilated, but some feel more comfortable if a friend or family member drives.

Insurance

We participate in many major health insurance and vision plans, such as:

· Medicare
· Aetna
· BlueCross BlueShield
· Cigna
· Humana
· United Healthcare

Please note: Coverage varies with each patient and insurance company. Our staff will help you determine your eligibility prior to the appointment, but it ultimately is your responsibility to know your insurance benefits.

Most health insurance companies do not cover non-medical office visits such as routine eye exams and refractions, and we do not accept every vision plan tied to health insurance plans. If you have questions about coverage, please contact our office prior to your appointment.

In some instances, there are additional fees that cannot be determined until after your visit with the doctor.

While we are happy to file insurance claim forms, we expect to receive co-payments, deductibles and payment for non-covered services at the time of your appointment. We accept cash, personal checks and credit cards.

We also request that you make arrangements to settle your account if your insurance company has not done so within two months of your visit. Payment plans for certain procedures can be established through our accounting department.

Financing Options

Financing Policy