- Do I have to pay separate copays for every medical visit for the same problem (scratch, infection, glaucoma…)?
Yes. In fact, if we don’t we could be fined by insurance companies and/or Medicare.
- Can you waive my copay if I ask very nicely?
No. This is considered insurance fraud. The copay is an agreement between you and your insurance company. We also have a contract with your insurance company and by not collecting we are breaking our contracted agreement and can be held accountable.
- Why doesn’t my eye insurance pay every year?
Great question… because it’s NOT insurance. It is simply a discount plan your employer has provided you. The number of exams you get per year is a negotiation between your employer and the discount plan provider.
- What if my insurance doesn’t cover services?
You will be responsible for charges your insurance does not cover.
- Do you take my insurance?
Here is a list of the major insurances we accept: Please contact our office if your insurance is not listed and we will check and see if we participate.
• Blue Cross Blue Shield
• Community Eye Care
• NC Medicaid
• Superior Vision
• United Healthcare
- When do I pay my copay?
Copays and all other non-covered charges are due at the time services are rendered.
- What if I cannot pay the amount I owe in full?
Please contact our office if you need any assistance with your bill. There may be other payment options available to you.
- Why do I still have a balance if my insurance has paid on my claim?
Based on your insurance coverage, you may be responsible for any deductibles, copays, and co-insurance for charges not covered by your insurance.
- I forgot to give my Vision Plan information and the claim was submitted to my medical plan. Can you still submit my vision plan?
Yes, if you were eligible on the date of service we may still be able to get an authorization for services. You will need to provide the ID# to your vision policy. We will try and obtain and authorization for services. With some insurances, however, there may be a timely filing limit that prohibits us from getting an authorization (normally 6-12 months from the date of services). Once we get an authorization for services we will file your Vision insurance. We will also contact your medical plan and reverse charges.
- How do I get my refund when I paid and so did my insurance?
When we have received payment from your insurance plan and a credit is on your account, you can contact our office and speak with the office manager. She will process your refund and tell you when to expect it.
- What should I do if payment is sent directly to me?
The amount paid to you should be used to pay out standing charges to Battleground Eye Care. Patients are responsible for any and all outstand charges. You can either deposit the insurance payment and issue us a personal check, or simply forward the insurance payment to us.