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Insurance and Payments

In most cases, your examination and procedures will be covered by your medical insurance. If a procedure is not covered, you will be responsible for payment. We will always discuss this with you before performing any procedure.

Billing Questions
Our Billing Department is available to answer questions Monday through Friday from 8:00 am to 4:00 pm. Please call 1-844-878-8053.

Co-Payment
Co-payments are set fees that your insurance provider requires you to pay at each visit with us. The amount of your co-payment is determined by your insurance provider, cannot be waived and must be paid at the time of service. The amount you are required to pay is usually indicated on the front of your insurance card. If not, or you are unclear about your co-payment responsibility, please contact your insurance provider for clarification prior to your appointment.

Co-Insurance
Co-Insurance is your share of the cost of the service. It is a percentage (usually 20%) of the total amount allowed by the insurance provider for the service. This amount is sometimes covered by your secondary insurance provider, if you have one. You will be billed for any remaining amount after payment has been received from your insurance providers.

Deductible
The deductible is an amount you are required by your insurance contract to pay out-of-pocket before the insurance provider will begin paying for services. Any amounts you pay to us will be reported to your insurance company to be credited toward this deductible amount.

Medical Savings and Flexible Spending Accounts
These plans can be used to pay any outstanding balance, including fees for contact lenses, contact lens fittings, specialty Intraocular lenses for cataract surgery and other procedures or testing not covered by your insurance plan. We will provide a statement containing the necessary codes for you to submit for your reimbursement.

Monthly Statements
If you have a balance remaining after your insurance provider has paid their portion, you will receive a statement by mail indicating the amount you owe. Payment is expected within 15 days of receipt. If you cannot pay the full amount, please call us immediately at 1-844-878-8053. We are always willing to discuss payment options with you.

If You Do Not Have Insurance
We offer discounted services for patients who have no insurance coverage. Payment is expected at the time of service, but we can discuss a payment plan.

Appointments

Cancellation and Rescheduling Policy
We ask that appointment cancellations or requests for rescheduling be received at least 24 hours prior to your scheduled appointment. We do not charge a fee for missed appointments, but ask that you be considerate and allow that time to be used by another patient.

New Patients
We are always happy to see new patients. All new patients are required to fill out administrative forms at their first visit so please plan to arrive 15 minutes early to allow time to complete these administrative tasks. You can speed the process by downloading and completing the administrative forms in the New Patient Packet prior to your appointment.

Referrals

Many insurance companies require a referral from your Primary Care Physician (PCP) to see an Eye Doctor. Please have your Primary Care Physician fax the Referral to our office prior to your appointment or bring it with you. Unfortunately, if we do not have the required Referral at the time of your visit, we will have to reschedule your appointment.

Prior Authorizations

Some Medical Insurance Providers require certain medical procedures to be Pre-Authorized. This can be a laborious process and may take several days. When necessary, we will ensure that this is obtained prior to performing the procedure.

Some medications require prior authorization from the Pharmacy Coverage Provider. This multistep process can require some time to complete, even when the Pharmacy Coverage Provider has previously authorized the medication. Please allow 3 to 4 days for this process to be completed.

Medication Prescriptions, Refills, Renewals and Reauthorizations

For the past several years, we have been submitting medication prescriptions electronically directly to your pharmacy. You will rarely receive a written prescription for your medications.

To refill prescriptions, please contact your pharmacy. If no refills are available on the original prescription, your pharmacy will contact us electronically to renew the prescription. Please allow 24 to 48 hours for this renewal process. You can always contact us directly by phone or via the patient portal to request renewals.

Some medications require prior authorization from the Pharmacy Coverage Provider. This multistep process can require some time to complete, even when the Pharmacy Coverage Provider has previously authorized the medication. Please allow 3 to 4 days for this process to be completed.

Eyeglass Prescriptions and Renewals

Providing you with an initial prescription for eyeglasses requires a test called a Refraction. This test is used to determine the power of the lenses. There is a separate fee for this test which is never covered by Medicare, but may be covered by other Insurance Providers. Eyeglass prescriptions expire after 2 years according to Maryland Law. In order to renew a prescription for your eyeglasses, a new Refraction will likely be necessary.

Contact Lens Prescriptions and Renewals

Contact lenses are medical devices which can cause problems with the eye surface if not fitted correctly or properly maintained. Conditions of the eye can change with time and may require changes in the contact lenses. An initial contact lens prescription requires a thorough Contact Lens Fitting. There is a separate fee for this service which is rarely covered by your medical insurance. Contact lens prescriptions generally expire in 1 year. After the expiration date, we will need to evaluate your eyes prior to issuing a renewal.

Medical Records

Electronic Medical Records
We have been using electronic medical records since 2012. We try very hard to prevent data entry from interfering with your visit. Please know that we also would prefer a less impersonal method of recording our interactions. However, the electronic record does allow for efficient retrieval of all your health information during your visit and provides your doctor with secure access to your information 24/7.

Release of Medical Records
In order to release your medical record, we will need a signed release form indicating your name, date of birth, and to whom we should release the record. Please download, complete and fax the appropriate form. There is a fee for processing requests for medical records.

Release of Medical Records FROM Rockville Eye Associates
Release of Medical Records TO Rockville Eye Associates

CRISP

The Chesapeake Regional Information System for Patients is an electronic system consisting of a Health Information Exchange (HIE) and the Maryland Prescription Drug Monitoring Program (MPDMP).

The HIE contains information about lab tests, imaging procedures and hospital discharge summaries in order to reduce the need for duplicate testing.

The MPDMP was instituted to address the epidemic of abuse of opioids and other addictive medications. It is a database with information from doctors and pharmacists all Controlled Dangerous Substances prescribed or dispensed. Please be advised that we are required by law to report the prescription of any controlled substances to this database.