Eye Center of the North Shore is a provider for most insurance plans. We currently accept assignment from Medicare and Medicaid. Remember, medical and vision insurance plans are not one and the same. Please contact your insurance carrier with any questions regarding your benefits prior to your visit with us.
ROUTINE SERVICES MAY NOT BE COVERED BY YOUR INSURANCE CARRIER
To All Our Patients:
We are committed to providing you the very best eye care available. Unfortunately, Medicare and health insurance companies do not always cover all of the services that may be provided during your eye examination.
Routine eye exams and refraction are often not covered and as a result, we may have to charge you an additional fee for these services, separate from any co-payment you may have. DO YOU HAVE A SEPARATE VISION PLAN?
WHAT IS A ROUTINE EYE EXAM?
A routine examination is when you visit us for a checkup to make sure your eyes are healthy and you are not experiencing any particular problems with your eyes. You have “NO COMPLAINTS.”
If you simply need to get your glasses changed, Medicare and most insurance companies will not cover the exam or refraction. Unfortunately, these rules and restrictions are set by Medicare and the insurance companies, and we must abide by them.
If you do indeed have blurry vision, cataracts, glaucoma, pain in and around the eyes, dry eyes, or some other problem, please be sure to let us know. Due to any problem, your visit may be covered by MEDICARE OR MEDICAL INSURANCE COMPANY-NOT AS A ROUTINE VISIT.
WHAT IS A REFRACTION CHARGE?
Refraction is done to determine whether an adult or pediatric patient is nearsighted, farsighted, have astigmatism, and whether glasses are necessary or need to be changed. This is an essential part of your eye examination and is especially important for children. The refraction is critical to helping us determine precisely how well you can see. If your vision cannot be corrected with glasses, you may have some form of eye disease, and refraction is the only way we can effectively determine this. Once again, unfortunately, most medical insurance companies and Medicare will not pay for refraction, although it is a fundamental part of a comprehensive eye examination.
If you have questions about coverage, review your insurance policy or call your insurance company to verify any and all coverage prior to being seen by one of our providers. This will avoid any unwanted charges. If your insurance requires a referral, and you do not have a referral in place at the time of visit you will need to reschedule. We apologize for the inconvenience. This a requirement by your policy. If you have any questions you should call your insurance company. All copays are due at the time of the visit.
Thank you for trusting us with your eye care needs. It is truly our honor and privilege to serve you.