It all starts with an eye exam!
ProMedica Physicians Vision Associates’ physicians participate with most major insurance carriers. To verify your coverage with ProMedica Physicians Vision Associates, you may call our business office, or you may call your insurance company. Our business office will be happy to assist you with this and answer any insurance/billing questions. Business office phone: 567-290-4060. New patients will be asked to provide their insurance information when making their appointment. Established patients will be asked for their insurance card(s) at every appointment. Our registration staff is always working ahead of your appointment to be sure your appointment will go smoothly. Having your insurance information prior to your arrival helps to avoid unexpected questions about your coverage that might delay your exam. Please Note: Insurance policies are an agreement between a patient and the insurance company. The patient is always responsible for knowing what his/her respective insurance company covers. Non-covered charges will be billed. Please be prepared to pay a $47.00 refraction fee. This is the eyeglass prescription you receive from your ProMedica Physicians Vision Associates physician. Many medical insurances DO NOT cover this fee.
If your insurance company requires you to have a referral, this must be in place prior to the exam. Please contact your insurance company to determine if you need a referral. If you have an HMO insurance plan, you must have a prior authorization/referral from your PCP before you can be seen in our office.
We are “Participating Physicians” with Medicare, meaning we accept Medicare’s allowed amount for all services covered by Medicare. As “Participating Physicians” we will write off the difference between our fee and what Medicare will pay for a specific procedure. This does not mean payment in full. Medicare will send payment directly to our office for 80% of the approved amount. The patient is responsible for 20% of the approved charge, plus any coinsurance and/or deductible. If you have secondary insurance, we will submit a claim to them for any remaining balance after Medicare has paid. Please remember that although we will accept assignment for Medicare patients, the beneficiary, as required by federal law, is responsible for 20% of the approved amount. All routine eye exams including refractions are considered to be a non-covered service by Medicare and patients are fully responsible for those services.
All uninsured patients must make a $150 payment prior to services being rendered. At the end of the appointment, any remaining balance will be charged to your account and a bill mailed. Payment of this balance is expected upon receipt of the bill. *If needed, arrangements for a payment plan can be made by calling the ProMedica Physicians Vision Associates Main Campus at 419-479-5398. The staff will be happy to make this arrangement for you.
*This is only true for balance from Feb 1, 2017 onward, otherwise you must contact ProMedica Physicians Vision Associates at 419-578-4060.
Accepted Payment Methods:
- Personal Check
- Discover, MasterCard, Visa
Our business office works very closely with you, your insurance company, and our physicians to make sure your account is accurate and up-to-date.