Eye Exam: Our office provides a full scope of eye care services, to include routine vision exams and medical eye care. Payments for all services rendered by this office are the responsibility of the patient. If we are providers for your insurance we will bill this for you, but any unpaid amounts will be your responsibility. The reason for your visit and the doctor's findings will tell us if your exam will be medical, or routine. If it is medical, we will bill your medical insurance. If it is routine, it will be out of pocket.
We are contracted (in-network) with traditional Medicare and Blue Cross & Blue Shield. If you have a PPO Medicare Advantage Plan we will bill your medical eye care only as an out-of-network provider. Just keep in mind your out-of-pocket is generally higher if you go out of network. At this time, we do not take any routine eye insurance. Upon request, we will provide you with a copy of your bill if you would like to submit it to your vision insurance.
Please check in with our office for any insurance updates.
Materials: We do require a 50% deposit on all materials purchased: the balance being due upon delivery of your order. Due to the custom nature of the order, any cancellations are necessary as soon as possible. Once the manufacturing starts on your lenses no refunds will be given, however, frame costs are refundable.
Authorization Of Benefits Statement: I authorize Medicare benefits be made on my behalf to Newcomer Eyecare I, P.A. for any services furnished to me by this provider. I also authorize the release of my medical information to the Health Care Financing Admin and its agents to determine benefits and payments.
Forms of Payment: We accept Master Card, Visa, Discover and American Express, personal checks (with copy of driver's license), Care Credit with a $200.00 minimum balance and cash.
If I am a contact lens patient I acknowledge: I will receive an updated contact lens prescription upon check out.
If you have any questions please do not hesitate to ask at the front desk.
I have read and understand my financial responsibilities: