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SYRACUSE EYE PHYSICIANS TREATMENT AND BILLING POLICIES as of March 1, 2020Under the direction of New York State Law, Syracuse Eye Physicians, LLP, Carl J. Hanig, MD and Arthur F. Coli, MD, are informing you, the patient, of the following:COMP CASE VISITS: If your injury is related to your job at WORK, we need you to provide us with:Name, Address and telephone number of the Workers’ Compensation Insurance Carrier for your employerDate of AccidentWorkers’ Compensation claim numberAUTO/NO FAULT VISITS: If your injury is due to a MOTOR VEHICLE accident, you must provide us with:Name, Address and telephone number of the No-Fault Insurance carrierName of the Insured PersonNo-Fault Carrier claim number*Not all MOTORCYCLE accidents/injuries are covered under AUTO insurance. Sometimes they are covered by MEDICAL Insurance. Your Auto Carrier should be able to advise you on this issue.COLLEGE/SCHOOL INJURY VISITS: If your injury is COLLAGE/SCHOOL related, you must provide us with:Name, Address and telephone number of the school’s insurance carrierClaim number for the injuryIf your claim is denied by the insurance carrier, you will be responsible for the bill.TREATMENT OF MINORS:Confidentiality: Confidentially in health care means that the information about a patient’s treatment would not be disclosed with the patient’s permission. As it relates to minors, confidential health care means that providers may generally not disclose medical record information to anyone, including a parent or guardian, without the patient’s permission.Who is considered to be a minor? A minor is a person who is under the age of 18What is informed consent? Informed consent could be given by a minor if he/she understands the risks, benefits and alternatives of a recommended treatment or procedure. He/she must also understand that they have the option not to move forward with the recommended treatment. Informed consent can be written or verbal and should be noted by the provider in the patient’s medical record. Who gives informed consent and/or makes health decisions for minors? Decisions related to vaccinations, bloodwork, x-rays, referrals to a specialist outside of our practice and any non-emergent medical treatment would be made by the parent or guardian for a minor under the minor reaches 18 years of age. A child under the age of 18 MUST be accompanied by a parent or legal guardian at EACH VISIT. In the event a parent or legal guardian cannot attend a follow-up visit, please remember to send along the child’s insurance card and co-payment with the accompanying adult.INSURANCES ACCEPTED:Medicare and Railroad Medicare and RetirementMedicare Advantage Plans: Aetna, Wellcare, Medicare Blue and FidelisHumanaUnited HealthCareWellcareMedicaid and Managed Medicaid Plans (with medical complaints and PCP referrals including, Fidelis, Excellus/BS of CNY (but we bill BS to local plan through Blue Card).AetnaCDPHPCigna through MVP networkEmblem Health through GHIHealthnowFidelisMartin’s PointEmpireLifetime Benefits Solution (formerly RMSCO)We are NOT currently accepting new patients with any Medicaid plan. We DO NOT participate with any NYS Health Exchange Plans with the exception of Excellus BS/BS.Once you confirm which insurance plan your employer has offered to you, it is YOUR responsibility to contact the insurance company to confirm that Syracuse Eye Physicians, LLP, is in that network and that we are participating with your employer’s group.To reach the billing office call: 315-472-4457INSURANCE ISSUES:We participate with most insurance plans. However, there are too many plans available to our patients which makes it impossible for our office staff to be familiar with what every plan individually covers. Here are a few key points for you to be aware of with regard to using your insurance plan at our office.Bring your insurance card to every office visit.Be prepared to pay your SPECIALIST co-payment when you CHECK-IN for your visit.Please conduct a detailed review of your health insurance before you select it. Anticipate your health care needs for the year as best you can, and then figure out what you will have to pay out of pocket. This will help you make an educated selection and prepare you for costs that you may incur. Please be aware of what your insurance plan does and does not cover. Just because we recommend a service, does not guarantee that your insurance plan will cover it. Medicare and therefore most all insurance plans will not cover the refraction charge. A refraction is completed at every complete (dilated) eye exam. A refraction is a necessary test in order to give you a written eyeglass/contact lens prescription. A refraction is a $46 charge and will be billed to you if your insurance does not cover the charge. You are personally responsible to cover the charge out of pocket. If you do not wish to have a refraction at your visit please let the technician know when she takes you in the room. Remember, you will not be able to receive a written eyeglass prescription at a later date by deferring the refraction at your visit today. It will require another visit and possibly more office visit charges. ................
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