This statement sets forth EyeSight Medical Center's policy as to handling of patient responsibility balances. Patients are responsible for providing EyeSight Medical Center the correct insurance information and eligibility prior to the time services are rendered. Once the insurance is billed for the visit, we cannot retract and bill another insurance.
If you are seeing Nicholas Stathopoulos, M.D. and you have a medical condition, your visit will be billed to your medical insurance.
Participating Insurance Plans: EyeSight Medical Center will bill your insurance carrier in a timely fashion after the date of service. EyeSight Medical Center will post all primary and secondary payments received and apply the contractual adjustments to your account. Upon resolution of all insurance balances, the patient will be billed their member responsibility. Patient agrees to remit payment upon receipt. The applicable government agencies and insurance companies have determined that except for certain circumstances, the discounting or waiving of a patients co-pay or deductible is unlawful and in violation of their contractual agreement. Patient assigns EyeSight Medical Center the right to receive any money from said insurance companies.
Non Participating Insurance Plans: EyeSight Medical Center does NOT participate with all insurance plans. Your payment for services rendered is at the customary charge that is billed to all insurance carriers and patients applicable for the service rendered. EyeSight Medical Center will courtesy bill your insurance claim on your behalf and the patient invoice will be sent at the time the insurance claim is filed. The guarantor or patient is responsible for this balance.
We DO NOT participate with NYS Medicaid and we cannot see you if you have this insurance.
Please note that the refraction portion of your exam (CPT 92015) is not always covered by all insurance companies and will be your responsibility.