Insurance and Financial Policies
Participating Insurance Plans
We accept most major medical and vision plans. Below is a partial list of the insurance plans with which we participate. Not all providers are participating with all insurances. Please contact your individual insurance plan or our billing department to inquire about whether our providers accept your insurance.
- Super Vision
- BC Vision
- Occupational Eyewear Network
- Medicare Plus Blue
- Blue Care Network
- Priority Health
- United Healthcare
- Champs VA
- Veterans Choice Program
Thank you for being our patient
We are committed to building a successful physician-patient relationship with you and your family. Your clear understanding of our financial policy is important. This information was designed to provide our patients with a detailed explanation of our financial policies. We realize this information may not apply to your specific situation and encourage you to please speak to our staff with any questions or concerns that you may have.
ID and Insurance Card
Photo ID and insurance cards must be presented at every visit. We will be unable to see a patient without a valid photo ID. This is for identity protection. We will copy your insurance card periodically to keep our files current. Please help us to ensure the information we have is current and accurate and know what your insurance contract will cover and pay so you are not subject to unexpected costs.
Co-Pay, Co-Insurance, and Deductibles
Remember we are here to help you. Your insurance company requires us to collect your co-pay at the time of service. Waiver of co-pays may constitute fraud under state and federal laws. We ask that you pay your co-pay at each visit as well as any deductibles, fees for non-covered services and any other cost shares you may incur. If you are unable to pay at the time of service a $5 fee will be added to your account as a statement fee.
Patient statements are expected to be paid in full promptly upon receipt. Past-due balances that go beyond 90 days will be handled by an outside agency. We are willing to work with you to help avoid this occurrence. Patients whose accounts are sent to collections will be required to pay all outstanding balances, including any collection agency fees, before scheduling any future appointments.
If you do not have a group or individual medical policy, payment is expected in full at the time of service.
Patients whose checks are returned by the bank for insufficient funds will be charged a $35 fee and future visits will need to be paid in cash or credit.
Kindly give our office 24-hour notice if you need to reschedule your appointment. Patients who do not show for their scheduled appointments will be charged a $25 fee that must be paid prior to receiving any further services.
Oakland Eye Care does not accept any payment plans unless they are arranged in advance with the billing office prior to services being rendered. Patients who fail to make their agreed-upon payments on time will have their accounts handled by an outside agency.
Medical vs. Vision Insurance
If you are seen in our office for a medical condition, such as glaucoma, cataracts, macular degeneration, diabetes or dry eyes, your exam will be billed to your medical insurance. If you do not have a medical condition, your routine eye exam will be billed to your vision insurance. If during your routine eye exam, the doctor finds a medical condition, your future exams will be billed to your medical insurance.
For your convenience, our office accepts cash, check, VISA, Master Card, Discover, American Express and Care Credit.
Many Insurance plans require a referral/authorization for the services performed in our office. You will need to obtain this referral/authorization from your primary care physician prior to being seen in our office.
Any adult, who brings in a minor patient 17 and under, will be responsible for any payments due at the time services are rendered regardless of any divorce decrees. If a responsible adult is not present, the appointment will need to be rescheduled.
Refraction is the process of determining your eyeglass/contact prescription by asking you what lens you see better with (i.e. better 1 or 2 or are they about the same?) Although this is important to helping you see better, most health insurance companies do not pay for this and the fee is due at the time of service.
We ask that you pay in full when you place an order for contact lenses, contact lens supplies or optical accessories. Eyeglass orders require you pay half when ordering, with the balance due a the time of pickup.