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INFORMATION FOR PATIENTS
EyeHealth
Northwest Payment Address:
PO BOX 22009
Milwaukie, OR 97269-2009
General
Insurance Information
Insurance Billing Information
Payment Policies
Fill out your
paperwork online
Patient
Registration Form
Patient
History Form
General Insurance Information
The physicians
of EyeHealth Northwest are providers for most major insurance companies.
The following list is a sample of just some of the insurances we
participate with. If you are unsure if EyeHealth Northwest participates
with your insurance, please call your insurance company and ask
if the physician is a provider.
Medicare
Blue Cross/Blue Shield
Providence Health Plans
Providence Preferred
ODS
Managed Health Care Northwest (MHN) PPO
Caremark PPO
Pacificare
Secure Horizons
Health Net
United Health Care
Lifewise
Vision Service Plan (VSP)
Tri Care
If you have
any questions about your insurance, claims, or your account, please
call our patient account representatives at 503-344-5115. They are
available Monday through Friday from 8:00 am to 5:00 pm to assist
you.
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Insurance Billing Information
As a courtesy
for our patients, EyeHealth Northwest will bill primary and secondary
insurance provided the information is given at the time of service.
Prior to your
appointment, contact your insurance company for verification of
benefits. If your insurance requires a referral for medical visits,
it is your responsibility to contact your primary care doctor to
obtain one.
When verifying
vision benefits, ask how often the exam benefit is available and
what type, if any, benefits for glasses or contact lenses are available.
If vision coverage is not clear, your coverage may be through Vision
Service Plan (VSP). The representative should be able to confirm
this.
If your vision
coverage is through VSP, you will be required to provide this information
at the time of ordering your glasses or contact lenses. EyeHealth
Northwest can not bill VSP after frames and lenses have been ordered.
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Payment Policies
If payment is
not received within 60 days from your insurance company, EyeHealth
Northwest will require payment from you. Payments received from
your insurance company after you have paid will be promptly refunded
to you.
Full payment
is required at the time of service for all co-pays, deductibles,
glasses, contact lenses and services not covered by insurance.
A $10 handling
fee is added to CO-pays not paid at the time of service.
If you are unable
to pay in full at the time of service, a payment plan may be extended.
Please talk with one of our Account Representatives at 503-344-5115
to arrange a payment plan. Payment plans will not be extended to
patients who have failed to make timely payments in the past.
Accounts that
are 60 days old are considered delinquent. A finance charge of $3.00
per month or interest of 1 ½ % per month (whichever is greater)
will be added to cover the cost of additional handling.
We accept assignment
on Medicare.
Checks returned
for insufficient funds, closed accounts or other problems are subject
to a $25 handling fee.
Accounts subject
to collection activity may be charged a $25 handling fee.
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