Payment for services is the financial obligation of the patient or responsible party. Fees are expected at the time services are rendered. Special policies will apply to the following patients:
MEDICARE We accept assignment on Part B Medicare patients. You are expected to pay your deductible and a 20% co-payment, unless your second health insurance policy covers it.
MEDICAID If your coverage is active, we will file your claim.
HMO / PPO / MANAGED CARE Oklahoma Retina, PLLC has agreed to be a provider for many of the HMO/PPO plans. It is important for you to consult with our billing personnel prior to your visit.
REFERRAL NUMBERS If you belong to a pre-paid plan, HMO, or Point of Service contract, please consult the referral rules in your health plan book. You have an obligation to provide us with the referral number, which you must obtain from your primary care physician (PCP) prior to your visit. Even if another eye doctor refers you to our office, you must have a referral number form your PCP. If you have an established PCP, you may be able to handle this by telephone. For urgent and emergency problems, our office staff will try to help you if you have no PCP and have an urgent medical problem with your eyes. You may not be able to obtain a number without being seen by a plan PCP. In this situation you will be responsible for payment of services. Note: Your health plan has the final word on authorization of referral services.
CO-PAYMENTS - Most prepaid health plans require you to make a co-payment with each visit. These cannot be billed to you, and we will ask for this payment when you check out at our office.
WORKMAN’S COMP - We accept patients with Workman’s Comp coverage. This coverage (as well as accident information) must be verified prior to your appointment.
A 20% prepayment is due prior to the scheduling of any elective surgery If you wish our office will be glad to process your insurance claim for surgical procedures. Please be sure that we have your correct insurance information. If your carrier requires pre-approval or special forms, please notify our staff before your surgery.
If we file your claim, we allow 45 days for the claim to be paid by the insurance company. After that period, we will ask that you pay. If you do not have insurance or the ability to pay, help through a state program may be available. Our staff can provide details.
ITEMIZED STATEMENTS - At the time of your visit, we will provide you with an itemized receipt of all charges and payments. You will need to retain this as a record of your visit and/or use it to file for reimbursement from your insurance company. A monthly statement of your account will be sent to you as long as you have an unpaid balance with Oklahoma Retina, PLLC.