Welcome to the practice The Glaucoma Center, LLC. Please take a moment to review our office financial policy.
INSURANCE:
You will be asked to present your insurance card upon arrival at most office visits, as well as providing picture identification.
REFERRALS:
If you are enrolled in an HMO plan, you MUST present a referral from your Primary Care Physician at the time of service in order to be seen. Please do not ask our office to obtain this referral for you. If you do not have a referral, your appointment will be rescheduled.
CO-PAYMENTS:
Most insurance plans require a co-payment at the time of service. The co-payment is noted on your insurance card for all office visits. Your co-payment will be collected prior to seeing your doctor. We accept cash, checks, and credit cards for payment. It is very helpful to have the exact change when paying cash amounts.
OUTSTANDING BALANCE ON ACCOUNT:
When you check in, you will be given a statement showing the balance on your account if applicable. You will be asked to pay this balance in full prior to being seen by your doctor. If for any reason you are unable to take care of this balance at that time, you will be referred to our billing department to make arrangements for payment prior to seeing the doctor.
DEDUCTIBLES:
Most insurance plans have an annual deductible. If you have not met your deductible, you will be responsible for your office visit.
MISSED APPOINTMENTS:
We ask that you show consideration by notifying our office at least 24-hours in advance if you are unable to keep an appointment. If you fail to give us a 24-hour notice of cancellation, there will be a $50 cancellation fee billed to your account that is non-covered by your insurance. You will bear complete financial responsibility for this fee.
NEW PATIENT APPOINTMENT:
New Patient appointment cancellations require at least 48-hours cancellation notice. If you fail to give us a 48-hour notice for cancellation, a $150 cancellation fee will be billed to your account that is non-covered by your insurance. You will bear complete financial responsibility for this fee.
NO INSURANCE:
If you do not have health insurance coverage, you will be advised of the office fee prior to your appointment and payment in full is required at the time of service.
BILLING:
We will submit an insurance form to all participating insurance companies for payment. Depending on your insurance plan, there will be a co-insurance due from you today. You will be responsible for this amount at your appointment check-in. We ask that you pay the amount today. In the event that your insurance company finds there to be a difference either more or less than the amount collected, we will bill you or reimburse you the difference.
If your account goes into collection, additional fees for collection agency, attorney fees, and/or court costs will be added to the outstanding balance on your account.
COPY OF RECORDS:
A fee of .76 per page will be charged for request of records.
COMPLETION OF FORMS:
There will be a fee of $50 to $150 based on the time required to complete each form or letter requested. This includes disability forms, letters to employers, paperwork for insurance companies for new enrollment, etc. Please allow 5-7 days for forms to be completed.