Accepted Insurance Policies

Billing hours: Mon-Friday 8:30-4:30
Phone: 585-394-2020, ext. 1867
 

FYI:
WellCare Health Plans (Medicare) participation will be terminated on 1/18/2020
ElderONE participation will be terminated on 12/31/2019

 

The Eye Care Center currently participates with all of the following insurance plans:

  • Aetna (including Aetna Signature, Mailhandlers Benefit Plan, Meritain, NY Signature, Student Health)

  • Aetna Medicare Advantage

  • Blue Choice Option (Excellus)

  • Child Health Plus (Excellus)

  • Empire Plan (NY State) (no routine services)
     
  • Excellus BC/BS

  • Federal Blue Shield (no FEP Vision)

  • Independent Health (non-HMO, non-Medicare, non-Medicaid, non-NYSHIP)

  • Lifetime Benefit Solutions (formerly EBS-RMSCO)

  • Medicare/Blue Choice and Medicare/Blue PPO

  • Medicare & Railroad Medicare (no optical)

  • MVP Healthcare (commercial & Medicare plans)

  • MVP Medicaid Managed Care (formerly Option) (no routine and optical coverage)

  • MVP Child Health Plus (no optical coverage)
     
  • MVP Essential (no routine and optical coverage)

  • Nova Healthcare Administrators

  • NYS Medicaid - Established patients/currently not accepting new patients (no optical coverage)

  • United Healthcare (commercial & Medicare plans, including Oxford Health)

  • United Healthcare Community Plan (no routine exam/no eyewear coverage)
     
  • United Healthcare Dual Complete (established patients only)
     
  • Univera Traditional (non-HMO plans)
     
  • Workers Compensation & MVA (no optical coverage) (no Federal Employee Workers Compensation)
     
  • Your Care  

 

Patients with Health Insurance:

If you have one of the listed health insurance plans and provide us with accurate information as well as signing an assignment of benefits, we will bill your insurance for you. At the time of your visit, we ask that you pay any applicable co-payment, co-insurance or deductible amounts. Upon receipt of payment from your insurance, we will bill you any remaining portion of your charges. We will make every effort to collect benefits from your insurance carrier. If your insurance denies your claim, we ask that you call them directly to determine why your claim denied and if the denial is accurate. If you overpay your co-payment or deductible, we will make every effort to refund your overpayment as soon as possible.

If you have a health insurance plan not listed above, we may be able to submit a claim for you, but we will ask you to pay our usual & customary fees. If your plan does not have out-of-network coverage, we will ask you to pay for your visit in full after signing a waiver indicating that we have informed you that we do not participate or are not a network provider in your health insurance plan.

Patients without Health Insurance:

If you do not have health insurance, we will require payment in full for all routine services at the time of your visit. If you require medical or diagnostic care, we will require at least partial payment with an arranged payment plan. If you require emergent care and cannot pay at the time of service, our financial counselor will work with you to arrange a payment plan.