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. Lateness greater than 20 minutes may be subject to cancellation.

SURGERY CANCELLATION / NO-SHOW POLICY

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. When your surgery is performed, the $200.00 deposit will be applied to your surgery balance or refunded back to you. Any subsequent cancellation will result in forfeiture of your deposit. 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**. Failure to provide at least 24 hours’ notice will result in a **$50 no-show fee**, which will be billed directly to you.

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. Failure to bring your insurance card(s) may result in a rescheduled appointment. You will be required to pay for your visit if you do not provide valid insurance information.

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. We will be unable to accommodate you without a referral, 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

There is a charge of $25 for each private disability, FMLA, life insurance, and VA benefits insurance form that is presented for completion, payable at the time of the request. There is no charge for drivers’ license or school forms if presented at the time of an office visit – otherwise, the fee is $15 per form, payable at the time of the request. Please note that you must have had an eye exam with Ophthalmic Partners within the past year for us to complete a drivers’ license form for you. Forms will be completed within 5 to 7 business days. Forms

REFRACTIONS

“Refraction” is a procedure necessary for our physicians to evaluate your vision and/or write you a prescription for glasses or contacts. Unfortunately, not all insurance plans cover this service. The cost of the refraction is $50. This payment is due at the time of service.

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.

Payor

AARP Medicare Complete HMO

AARP Medicare Complete PPO

Advantra Freedom

Aetna HMO/POS/PPO/EPO

AmeriHealth Administrators

AmeriHealth HMO/PPO/POS/EPO

Blue Shield of Pennsylvania (includes out-of-area Blue Shield plans)

CIGNA

Connecticut General {Dr. Ayres)

Consumer Health Network

Coventry {also known as First Health)