Some of the most frequently asked questions
by patients when making appointments are:
- Do you participate with my insurance plan?
- What is the difference between a medical visit and a routine
eye exam?
- Do I have routine vision care coverage under my insurance
plan?
- When do I need a referral for my visit?
Tri-County Eye Physicians & Surgeons accepts a variety
of insurance plans for both medical examination coverage and
routine vision care examinations. A medical visit
whether for either initial treatment or follow up care is
normally covered under your medical insurance policy. A routine
eye or vision care examination, usually indicated
when there is a question regarding your visual acuity in the
absence of any known eye disorders, may be covered, often
without a referral, only if your health insurance
plan includes routine vision care coverage.
Some patients are uncertain whether their medical coverage
also includes routine vision coverage. We have attached a
list of all of the insurance plans with which we currently
participate, including phone numbers and web site addresses
when available. You are responsible to contact your health
insurance plan provider, to determine the specifics of your
health, medical and vision care insurance coverage. Some examples
of medical visits that are billed through your medical insurance
are eye exams for diabetes, glaucoma, cataracts or headaches
as well as visits for acute problems like pink eye and eye
trauma.
When you have medical coverage through an HMO, a referral
is required to see our physicians for medical visits.
For these patients, lack of the appropriate referral at the
time of the appointment will necessitate payment in full at
the time of the visit. If this is not possible, a re-scheduled
appointment within a reasonable time frame will be made to
accommodate your referral acquisition from your primary care
physician.
As always, we are available to answer questions that you
may have regarding your insurance coverage. You may direct
your inquiries to our Insurance and Billing Department by
calling 215-396-4211 during regular business hours between
8:00 a.m. and 4:30 p.m. Monday through Friday
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