Our office works toward being completely paperless and greatly reducing our waste in the environment. We communicate with you via our secure portal, and we will send you our electronic forms to sign prior to your exam. On the day of your appointment, please bring the following to help us serve you better:
Also, please fill out your vision and medical history prior to your appointment. It will ensure that we can see you promptly and decrease wait times.
Below, please find important additional information that you will need prior to your exam. You will be asked to sign forms before your exam acknowledging that you read and understand everything provided here.
Our Practice Financial Policy
We are dedicated to providing you with the best possible care and service, and regard your understanding of our financial policies as an essential element of your care and treatment. To assist you, we have the following financial policy. If you have any questions, please feel free to discuss them with our staff. For all services rendered to minor patients, the adult accompanying the patient is responsible for payment.
Unless other arrangements have been made in advance by either you or your health coverage carrier, full payment is due at the time of service. For your convenience we accept Cash, Debit, Check, VISA, Discover, MasterCard and American Express.
We have made prior arrangements with many insurers and other health plans. We will bill those plans with which we have an agreement and will collect any required copayment at the time of service. The copayment will be collected when you arrive for your appointment. In the event your health plan determines a service to be “not covered,” you will be responsible for the complete charge. In that event we will bill you, and payment is due upon receipt of that statement.
If you have insurance coverage with a plan with which we do not have a prior agreement, we will prepare and send the claim for you, on an unassigned basis. In this case, your insurer will send the payment directly to you. Therefore, charges for your care and treatment are due at the time of service. We will also bill your health plan for all services that we provide in the office. Any balance due or non-covered services is your responsibility and is due upon receipt of a statement from our office. There are two types of health insurance that will help pay for your eye care services and products. You may have both and our practice accepts both: Vision care plans (such as VSP and EyeMed) and Medical insurance (such as Blue Cross Blue Shield and United Healthcare).
Vision care plans only cover routine vision exams along with eyeglasses and contact lenses. Vision plans only cover a basic screening for eye disease. They do not cover diagnosis, management or treatment of eye diseases. Medical insurance must be used if you have any eye health problem or systemic health problem that has ocular complications. Your doctor will determine if these conditions apply to you, but some are determined by your case history.
If you have both types of insurance plans it may be necessary for us to bill some services to one plan and other services to the other. We will use coordination of benefits to do this properly and to minimize your out-of-pocket expense. We will bill your insurance plan for services if we are a participating provider for that plan. We will try to obtain advanced authorization of your insurance benefits so we can tell you what is covered. If some fees are not paid by your plan, we will bill you for any unpaid deductibles, co-pays or non-covered services as allowed by the insurance contract.
Cancellation Policy/ Not Showing Up for your Scheduled Exam
Effective March 4, 2019, a patient who fails to be present for a scheduled appointment or does not contact the practice at least 24 hours in advance of their scheduled appointment, will be considered a “no show” and will be charged a fee of $50.00. This fee will be charged directly to the patient, not the insurer.
Should you need to cancel your appointment, this must be done at least 24 hours before your scheduled appointment. This allows other patients, who may be waiting to see the doctor, to use the available appointment time. In addition, patients who have two no show visits will receive a warning letter that any additional no show appointments will result in their dismissal from the practice.
Patients who wish to request an exception (for extenuating circumstances) will be directed to speak to the Office Manager who will make the final decision on a waiver of the no show fee. We do realize that on occasion, circumstances change at the last minute, and will allow for extenuating circumstances.
Also, please note that arriving more than 15 minutes late will count as a ‘no-show’, and, while we may still see you, you will have to wait until there is a break in the schedule to be seen. The decision to see you at that point will depend upon the time and the schedule for the day. Patients who are assessed a no show fee must pay the fee at the time of their next visit.
At Optique, we pride ourselves on providing our patients with the best possible standard of care. Because of this, we perform the Optomap® Retinal Exam on all of our patients. This non-invasive procedure allows your doctor to see a much broader and more detailed view of the retina than is possible with conventional methods. When reviewed, the scan becomes a permanent part of your medical file, enabling our doctors to make important comparisons should potential vision threatening conditions show themselves at a future examination. We strongly believe that the Optomap® Retinal Exam is an essential part of your comprehensive eye exam. We prescribe it for all patients once per year.
With every potentially life and sight threatening issue one can possibly imagine, the best form of combat is early detection. It is for this reason primarily that our Optometrists at Optique use the Optomap® as a method to screen and check the complete health of your eyes. The Optomap® is more convenient, taking virtually no time at all, versus dilation which adds about 45 minutes to your exam time and distorts your near vision for the rest of the day.
As part of your pre-test work up, we capture Optomap® images for review with your doctor during your examination today. The $39.00 screening co-pay for this procedure is generally a non-covered service unless being used to actively follow disease. Any question you have about the Optomap® Retinal Exam can be directed to your doctor when they review the images with you during your examination.
The OCT Explained
As part of your eye exam, our doctors recommend a special diagnostic procedure called the Optical Coherence Tomography or OCT. It is a sophisticated scanning system that produces highly detailed images of the retina. It is often likened to an MRI or x-ray of the eye, but it does not produce any radiation. This scan allows our doctors to see detailed images of the retina (the inner most layer of the interior eye), which enables them to accurately detect, monitor and control changes to the retina. This procedure is currently the only one that shows in-depth images of the internal structures of the eyes. Other procedures, such as the Optomap®, only show the surface of these structures.
OCT and Early Detection of Eye Health Problems
An OCT scan can detect the early signs of macular degeneration, glaucoma, detached retinas and other eye disorders. This procedure only takes minutes, and the equipment never touches the eye or causes discomfort. This permanent record is very valuable in assessing the current health of your eye and for safeguarding the health of specific structures of your eye, such as the retina, optic nerve, macula, and blood vessels. It will also serve as an initial point from which to compare, as we follow your health in subsequent years. Our doctors recommend that our healthy patients 40 years old and over receive this test at least every three (3) years. Glaucoma and retinal diseases tend to progress without any symptoms in the early stages. Age is a major risk factor for development of many eye conditions because they typically develop over the course of many years.
The screening co-pay for this part of the eye exam is $60.00. Generally, this test will not be covered under your medical insurance or vision plan unless it is being used to actively follow a disease.
Yearly Patient Contact Lens Evaluation + Compliance Agreement
The contact lens evaluation is an additional exam over and above the routine comprehensive vision examination. Many insurance companies consider contact lenses (and their evaluation) an elective procedure, and therefore do not cover the additional fees associated with contact lens evaluation. Any fees not covered by an insurance company will be the responsibility of the patient. Fees are determined based on the complexity of the prescription and the fit of the lens.
Your contact lens evaluation includes the following services (by both the Optometrists and staff):
Our Contact Lens Policies:
Contact lenses are medical devices which must be prescribed yearly by your Optometrist. Wearing contacts increases your risk of eye infection or corneal ulcers that can lead to loss of vision. This risk increases if the contacts are worn for an extended period of time. You should remove your contact lenses and call your optometrist immediately if you suspect anything is wrong, have blurred vision or experience any unusual burning, irritation, redness, pain or watering of the eyes.