Patient Resources

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Patient Portal

About Your Appointment

For the safety of you and others, a driver is recommended for any appointment that requires your eyes to be dilated. Generally speaking, this will be for any new patient exam, annual eye exam, and on a regular basis for certain eye conditions (i.e. Macular Degeneration, Diabetes). If you are uncertain whether or not your eyes will be dilated, you may call the office for clarification.

What to Bring

  • Your health insurance card(s)
  • Photo ID (i.e. driver’s license)
  • Your medical insurance co-payment
  • Updated list of medications and information regarding any health changes, procedures, or hospitalizations

Patient Forms

Referral Form for
Referring Providers
Allergy
Questionnaire
Lipiview
Pretesting Instructions

Insurance & Billing

Our office is committed to making your visit a pleasant one. As a courtesy to you, we are happy to assist you with filing your insurance claim(s). We will file primary and secondary only. Any tertiary claims are your responsibility. We are a medical office but we also participate with vision insurance (i.e. VSP and EyeMed)

At each visit, your address, phone number, and insurance information will be verified.

Insurance companies often have provider networks. While we try to be informed and abreast of changes and new plans offered, we advise you be familiar with your provider network to minimize the chance of being seen outside the network of your particular plan. Some providers in the same group practice may be considered out of network while others are in network. Being seen outside your network may result in non-payment, or an increase in the amount of patient responsibility. Please be as informed as possible when it comes to your health insurance coverage.

Your insurance plan may require a referral. You are responsible for obtaining this referral from your primary care physician. If you are seen without the proper authorization, you may be responsible for the charges incurred. Please be familiar with your coverage.

For insurance questions please call us: (419) 521-3937

Covered Services

Insurance plans vary widely, and many of them have limits or conditions to coverage. In some cases, certain procedures may not be covered. If your insurance does not cover these services, you may be personally and fully responsible for payment.

Commonly these limits include:
  • Refractions: Determines prescription for glasses, and is sometimes done to determine the best visual acuity for medical or diagnostic purposes.
  • Routine or Preventive Eye Examinations: We are happy to bill your insurance, but ask you pay the refraction fee in full at the time of service since this is most commonly not a covered service. If your insurance does remit payment, you will receive a refund from our office.

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