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Appointment Information

How to check your insurance benefits prior to making your appointment:

Patients who see their eye doctor are sometimes seen using vision insurance benefits and sometimes seen using medical insurance benefits.  Some patients have both types of insurance and others have only medical insurance. 

Vision Insurance:

Most insurances have a members website where you can check your benefits.  If you have Vision Service Plan you will not receive an insurance card but can check benefits here  

Medical Insurance:

  • Your medical doctor has referred you for an examination

  • You are having a medical problem with your eyes

  • You have an infection or eye injury

Some patients, particularly those with conditions such as diabetes or glaucoma, are allowed a complete medical eye examination each year by their health plan.  This varies from one plan to the next, so we recommend you call your plan and ask before scheduling an appointment.
 

It is important for you to know your benefits and obtain any necessary referrals prior to your examination.  To help you, we recommend you follow these steps:

  1. Contact the health plan’s phone number on your insurance card.

  2. If this is a medical visit, ask your health plan if a referral from your Primary Care Physician (PCP) is necessary.  If so, please contact your PCP for a referral.  Some PCP’s will not issue referrals to their patients after the visit, so it is important that you call first.

  3. If this is a routine vision exam, ask the health plan if you have vision benefits.
         A.  How often are you eligible for a routine vision exam?
         B.  Do you have a co-pay?
         C.  Do you have benefits for glasses and contact lenses?
         D.  How often are you eligible for glasses and/or contacts?
         E.  What does your insurance pay toward frames, lenses and
               contact lenses?

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What to bring to your appointment:

Please bring

  • Your eyeglasses, contact lenses, and any low vision aids you use. 
  • Your doctor will also ask you to provide a list of your allergies and medication (with dosages).  This includes any eye drops, over the counter medications, or supplements used in the past six months.
  • New patients will need a Medical History form (print and bring completed form with you).
  • Your current insurance card.  A copy will be placed in your file for billing purposes. 
  • If your visit requires a referral from your Primary Care Physician (PCP), please bring a copy of the referral with you.

In some cases, your doctor may feel it is important to obtain a copy of your previous medical records.

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If your eyes will be dilated...

If you are uncomfortable driving after having your eyes are dilated, please arrange to have someone drive you to and from your appointment.  Dilation time is different for everyone and could last several hours.

Will you be selecting new glasses?  If your eyes will be dilated and you are planning to purchase new glasses, please try to arrive early enough to browse our Optical Department and select your frames prior to having your eyes dilated.  You will be able to make a better selection when you can see more clearly.

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Copyright © 2007 Eyecare Associates
Last modified: 07/29/08