Office Policies

Thank you for choosing Ophthalmic Partners. We are committed to providing you with the best eye care possible. To accomplish this, we need your assistance in understanding our practice policies.

CANCELLATIONS AND LATE ARRIVALS

If you are unable to make your scheduled appointment, please let us know as soon as possible so that we may offer the time to another patient. If you are more than 20 minutes late to your scheduled appointment, we will make every effort to work you back into the physician’s schedule. However, we may have no choice but to reschedule your appointment. We thank you for your understanding.

SURGERY CANCELLATION / NO-SHOW POLICY

Effective April 1, 2023, if you cancel or no-show for your surgery two times, you will be required to pay a $200.00 deposit before scheduling your third surgical date. If your surgery is performed, the $200.00 deposit will be applied to your surgery balance or refunded back to you. If you cancel or do not show up for your third surgical date, you will forfeit your $200.00 deposit.

Specialty Contact Lens Evaluation No-Show Policy

If you are unable to attend your scheduled specialty contact lens evaluation appointment, we require that you notify us at least **24 hours in advance**. This allows us to adjust our schedule and accommodate other patients who may need care. Failure to provide at least 24 hours’ notice will result in a **$50 no-show fee**, which will be billed directly to you. This fee is necessary to cover the time and resources reserved for your appointment.

RESPONSIBILITY FOR THE BILL

All patients receiving services from Ophthalmic Partners are financially responsible for the timely payment of all charges incurred. For those patients with insurance accepted by our physicians, Ophthalmic Partners will submit the bill to the insurance company first for payment. It is your responsibility to pay any deductible amount, co-insurance, or any other balance not paid by your insurance.

INSURANCE CARDS

Please bring your insurance card(s) with you, especially if you are a patient new to the practice. Failure to bring your insurance card(s) may result in a rescheduled appointment if we are unable to verify coverage unless you are willing to pay for the visit out of pocket.

REFERRALS

If your insurance plan requires a referral for you to see a specialist, it is your responsibility to have your primary care physician submit the referral prior to your visit. If we have not received your referral by the time of your appointment, we will allow you an additional 20 minutes to obtain one, and we will work you back into the physician’s schedule. We will be unable to accommodate you without a referral, however, unless you are willing to pay for the visit out of pocket.

POINT OF SERVICE COLLECTION

Payment for non-covered services, such as refractions or contact lens fittings, is due at the time services are rendered. We accept cash, checks, and major credit cards for your convenience. Co-pays and all outstanding balances are also due at the time of service. If you have a question about your outstanding balance, our Business Office will be more than happy to assist you.

PATIENT FORMS COMPLETION POLICY

Our office provides completion services for disability, FMLA, life insurance, VA benefits, and other medical forms. These forms need to be completed by an ophthalmologist as they pertain to your vision and/or the care you have received at our practice. Please note that completing these forms requires time for data gathering and review by our providers.
Processing Time: Forms will be completed within 5 to 7 business days.
Fees: A fee of $15 will be charged for each form completed. A fee of $25 will be charged for forms that need to be expedited. This fee is payable upon submission and can be paid by cash or with credit card.
We appreciate your understanding.

REFRACTIONS

“Refraction” is a procedure necessary for our physicians to evaluate your vision and/or write you a prescription for glasses. If you are experiencing blurred vision or decreased visual acuity as measured by the eye chart, refraction would help determine whether the difficulty is associated with a medical problem or a need for glasses. During the refraction, the physician or technician offers you a series of lens choices until you reach the best-corrected vision. Unfortunately, not all insurance plans cover this service, and Medicare specifically excludes refractions as a covered benefit. The cost of the refraction is $45. This payment is due at the time of service for Medicare patients. For those patients with commercial insurance, we will submit the refraction claim and only bill you if your insurance company determines that you are responsible for payment.

INSURANCES ACCEPTED

Ophthalmic Partners accepts insurance from the following health carriers. Unless otherwise noted, all of our physicians participate with the designated insurers. Should you have any questions, please call our Business Office at (484) 434-2700.

Advantra Freedom
Aetna HMO/POS/PPO
AmeriHealth Administrators
AmeriHealth HMO/PPO
Beech Street (Drs. Pro, Schmidt)
Blue Shield of Pennsylvania (includes out-of-area Blue Shield plans)
CIGNA
Connecticut General (Dr. Ayres)
Consumer Health Network
Conventry (also known as First Health)
Davis Vision (Drs. Finklea, Schrack, Nelson for exam only)
Devon/Medical Mutual (Dr. Ayres)
Evolutions
Great West (also known as One Health plan)
Health Net NJ (Drs. Ayres, Pro, Schmidt)
Health Net PA (Drs. Ayres, Pro, Schmidt, Moster, Nelson)
Health Assurance/Health America
Horizon BCBS of NJ (Drs. Ayres, Dalen, Finklea, Pro, Schmidt, Schoen)
Keystone Health Plan East
Keystone 65
InterGroup/PPO Next/Master Care/ Preferred Care
Keystone First
Medical Assistance NJ (Drs. Ayres, Finklea, Pro, Schmidt, Schrack)
Medical Assistance PA/Access
Medicare
Mutual of Omaha
NJ Carpenters H & W (Drs. Ayres, Pro, Schmidt)
Operating Engineers Local 825 (Drs. Schmidt)
Personal Choice
Personal Choice 65
Private HealthCare Systems (Dr. Ayres)
Tricare
United HealthCare/Oxford NJ (Drs. Ayres, Finklea, Pro, Schmidt)
United HealthCare/Oxford PA
US Family Health Plan
Workers’ Compensation