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Under this page you will find information on participating insurance companies, payment policies, fee schedule, and how to pay your bill.

We would like to provide you with the best possible care and service for your eye care needs including helping you receive your maximum allowable benefits, use flexible spending dollars, and avoid any financial misunderstandings. For us to achieve these goals, we ask that you take responsibility for understanding your insurance coverage and reviewing our payment policies. As you are responsible for charges not covered by your insurance plan, we suggest that you verify your eligibility for services prior to your visit.

Most importantly, the fees published are not your out-of-pocket expenses for the service or procedure listed. The amount you will owe at the time of service will depend on your insurance plan. Coverage benefits, co-pays, co-insurance, or deductibles can differ greatly from plan to plan. If you have health insurance, you should contact your insurance company directly to determine what your financial obligation may be.

If you have questions or need assistance with your bill, our Patient Financial Services Representatives may assist you with information, payment arrangements, and insurance billing problem resolution. Contact Patient Financial Services at (866) 905-4477 during business hours.

Insurance

Fee Schedule

FAQs

Payments

Fee and Payment Policies

To best serve you and prevent any misunderstandings, you should verify your eligibility for services with your insurance company prior to your visit. Your insurance company will best be able to guide you on the out-of-pocket expenses you may be required to pay. It is your responsibility to understand your insurance coverage and the payment policies. Full payment is due at the time services are rendered immediately following your visit. This includes all co-payments, coinsurances, deductibles, and/or non-covered services. This also applies to “Accepted Assignments”. You will be required to pay any charges not covered by your insurance plan. The latest fee schedule is available online by scanning the QR code or visiting the website. Returned checks are subject to a $20 fee. Balances owed after 90 days may incur a billing fee and an administrative fee until balances are paid. If your account goes into collection, you are responsible for the original charges and any additional expenses our office or the collection agency incurs to collect this balance. If you have financial difficulties, please contact us as soon as possible.

Important Information About Insurance Coverage and Fees

Our exams are comprehensive and adhere to the optometric standard of care. While we will do our best to work with patients, especially to address any financial concerns, we cannot “skip” parts of the exam that are not covered by insurance. Refraction (the determination of your eyeglass prescription needs) may not be a covered service. Most insurances do not cover this procedure. A refraction is a procedure that measures your ability to see clearly and determine if you need glasses, bifocals, or a change in your current prescription lenses. During the exam, test lenses are placed in front of your eyes and the patient is asked, “which is better or clearer – one or two”. It is typically performed during both a routine exam as part of an initial evaluation and when monitoring of a medical condition such as diabetes, cataracts, glaucoma, dry eye or macular degeneration. Contact lens fitting and/or evaluation are not part of a routine examination. Your insurance may not pay for this service. There may be a separate fee

depending upon your individual insurance coverage. Required referrals must be obtained in advance. If your insurance plan requires a referral, you must obtain the referral prior to services being rendered. If your plan requires a referral from another provider, you must obtain that referral prior to your scheduled appointment and services being rendered. You will be responsible for payment if the referral is not obtained in advance. Your doctor can complete a referral form online: www.universityeyecenter.org/referrals/

GOOD FAITH ESTIMATES

If you are uninsured or prefer to pay directly out of pocket, you have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Please note this at the time of scheduling your appointment to ensure we can prepare the information in advance for your review. Under the law, healthcare organizations need to give patients who don’t have insurance or who are not using insurance, an estimate of the total expected cost for non-emergency medical items and services. This included related costs like medical tests, prescription drugs, and equipment.

What you need to know:

  • Make sure your healthcare organization gives you a Good Faith Estimate in writing or at least 1 business day before your medical service appointment or receipt of your equipment. You can also ask your healthcare organization, and any other organization you choose, for a Good Faith Estimate before you schedule the service, or an item is ordered.
  • If you have a question about your Good Faith Estimate or your bill, please speak with a representative in the Patient Financial Services department at 866-905-4477.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute your bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.
  • For questions or more information about your good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

FORMS OF PAYMENT

We accept cash, checks, money order, Discover, Visa and MasterCard. You can pay your bill online through your patient portal account, in person at the University Eye Center or by mail