It is your responsibility to know the terms and limitation of your policies. Failure to inform us of all of your insurance information may result in a denial of benefits and payment in full being owed by you. Please provide us with all of your insurance information. Your carrier is required to respond to our claim submission within 30 days. If we receive no response from your insurance company we may ask you to contact your insurance company or remit payment yourself and seek reimbursement from your insurance company.
We are currently not providers of HMO plans; if you have an HMO plan for medical visits, you are responsible for all fees at the time of your visit. Medical insurance and vision plans are very different in their terms of service and their coverage. We are unable to determine which, if any, can be billed until after the examination is completed.
When a medical condition is present (diabetes, high blood pressure, dry eyes, red eyes, allergies, etc.) it is necessary to file the claim with your major medical carrier. Vision plans do not typically cover medical problems, just as medical insurance does not cover routine glasses and contact lens exams. We are often unable to bill your vision plan for the glasses/contact lens portion of your exam on the same day we bill your medical insurance for management of your medical eye problem. Our office does not make these policies, they are defined by the insurance carriers themselves. We will need copies of your insurance cards and a photo ID.
By signing below, you attest the information listed above is true and that you have read and understand the financial policies of this office listed on this form. If you are using insurance and are denied any part of your claim, you agree to pay any outstanding balance. Please provide your insurance card(s) and a valid form of picture identification with this form at check in.
Patient Signature (OR Parent/Guardian if under 18): Date:
Financial Responsibility Statement & Acknowledgement of Office Policies
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Review Of Systems
Lifestyle Questionnaire:
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Contact Lens Fitting Information & Agreement
Contact lenses are FDA Class I medical devices that have the potential for serious complications if not used and fitted properly. For that reason, the standard of care and the requirements for the California State Board of Optometry require an annual examination for renewal of the contact lens prescription
Patient Eligibility: You must have had a general eye exam within three months prior to obtaining a contact lens fitting. If you had an eye exam outside of Partners Pacific Optometry, your exam records need to be forwarded to us. Patients under the age of 12 years old will only be fitted in daily disposable replacement contact lenses.
Fitting Service Includes: In addition to general eye health assessment, the doctor will assess issues related to contacts such as abnormal blood vessel growth, corneal damage, chronic inflammation, hygiene, discomfort, and poor surface compatibility leading to dry eyes, in addition to any vision changes.
Fitting fees: The estimated fee for these services range between $75.00 and $140.00 These fees will cover any contact lens related follow ups for two months. If you cannot complete the fitting procedure in the allotted time due to missed follow up appointments, there will be an additional $40.00 charge per visit beyond the global time two month period. . First time contact lens wearer fees require a $50.00 training fee to include insertion and removal of contact lenses training and instructions on proper contact lens care. This training fee covers no more than 4 training sessions or when determined by the doctor the patient is not a good candidate to wear contact lenses.
Cost of Lenses: The cost of contact lenses is not included in the fitting fee and is determined by the type of lens prescribed by the doctor. It is often difficult to predict the cost of materials before the fit is finalized. We are happy to review the estimated cost of your lens before beginning any fitting process if you request to do so.
Refund: In general, there is no refund for professional contact lens fitting fees. Contact lens materials cannot be refunded after 30 days. Lenses in opened boxes or damaged (i.e. writing on boxes or crushed boxes) may not be returned.
Insurance: Most medical insurance plans do not cover contact lenses. Vision plans may have contact lens benefits eligibility towards the contact fitting fees and/or materials. Our staff can help you check your eligibility.
Contact Lens Prescription: A contact lens prescription will be released to patients only after the fitting, including follow-up care, has been completed. Contact lens prescriptions by law expire one year from the date we initiate the contact lens fitting. The patient's final contact lens prescription will be available in digital form on Dr. Contact Lens, our office's online ordering platform.
By signing, I acknowledge that I understand the policies regarding the contact lens evaluation and agree to the associated lens fees. I understand these fees are nonrefundable once the services have been initiated. I understand that these fees are an estimate and are subject to changes based on the doctor's final assessment. I also understand that improper usage of contact lenses as prescribed can lead to vision loss and permanent eye damage. I understand if an infection is present, I will need to be treated under my medical insurance prior to being refit with contact lenses.
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