INSURANCE
Medical Eye Services requests that you familiarize yourself with the rules and regulations of your insurance policy. The rules concerning
insurance procedures are subject to change, and we remind you of the following:
When your insurance states that you need a referral, it is your responsibility to obtain a referral from your Primary Care Physician PRIOR to your visit with our Specialist. We must have the referral in our office by the time of your appointment, or we will have to reschedule your appointment for a later date. Insurance contracts do not allow retroactive referrals anymore. Failure to adhere to the above procedure will deem any specialist appointment you make your own financial responsibility.
You must be certain that our specialist that you are going to see is listed as a Provider on your insurance plan. It is essential that you complete the following steps for any specialist that you are going to see at Medical Eye Services:
Upon seeing one of our Specialists, you must also contact your insurance company if any of the following are prescribed or ordered by our physicians to determine if prior authorization is required:
Failure to contact your insurance company regarding any of the above may result in your insurance company denying payment for services rendered. It is important that you present your current insurance card when you arrive at our office. Your insurance card contains vital information we must have to properly submit and process your claim. If you have a co-payment, your insurance company requires that you pay at the time of your office visit.
Please call our office at 847-662-4016 if you have any questions. These guidelines are presented in order to help us help you. Thank You!
Here is a list of some of the insurance companies we participate with:
Aetna
Anthem
Cigna
First Health
Fortis Benefits
Medical Mutual
Medicare
Medicaid - State of Illinois
One Health Plan
PHCS Private Healthcare
PPOM
Primary Health Services
Railroad Medicare
TriCare
United Health Care
insurance procedures are subject to change, and we remind you of the following:
When your insurance states that you need a referral, it is your responsibility to obtain a referral from your Primary Care Physician PRIOR to your visit with our Specialist. We must have the referral in our office by the time of your appointment, or we will have to reschedule your appointment for a later date. Insurance contracts do not allow retroactive referrals anymore. Failure to adhere to the above procedure will deem any specialist appointment you make your own financial responsibility.
You must be certain that our specialist that you are going to see is listed as a Provider on your insurance plan. It is essential that you complete the following steps for any specialist that you are going to see at Medical Eye Services:
- Check your insurance directory to make certain the physician is on your plan
- Check with your primary care physician’s office to obtain a referral to our specialist
- Call your insurance company if you don't see our specialist listed on the plan. Many insurance companies update their list regularly.
Upon seeing one of our Specialists, you must also contact your insurance company if any of the following are prescribed or ordered by our physicians to determine if prior authorization is required:
- Diagnostic testing such as an A-Scan, Visual Field Test, OCT Test, etc.)
- Referral to another specialist for a second opinion and/or treatment
Failure to contact your insurance company regarding any of the above may result in your insurance company denying payment for services rendered. It is important that you present your current insurance card when you arrive at our office. Your insurance card contains vital information we must have to properly submit and process your claim. If you have a co-payment, your insurance company requires that you pay at the time of your office visit.
Please call our office at 847-662-4016 if you have any questions. These guidelines are presented in order to help us help you. Thank You!
Here is a list of some of the insurance companies we participate with:
Aetna
Anthem
Cigna
First Health
Fortis Benefits
Medical Mutual
Medicare
Medicaid - State of Illinois
One Health Plan
PHCS Private Healthcare
PPOM
Primary Health Services
Railroad Medicare
TriCare
United Health Care