BILLING FOR YOUR VISIT
By now, many of you have likely heard that Children’s Eye Care has been acquired by Pediatrix Cardiology of Washington, a division of Mednax (NYSE: MD).
Although your bill will come from Mednax/Pediatrix, we ask that you please call us directly with any billing issue first (425-823-3937). Many issues can be resolved by our staff on site without the need to call the Central Billing Office who will not be familiar with you or your situation.
It is our pleasure and our privilege to help you and your family with the care of their eyes. We work hard to make your visit a positive experience, and we will continue to do so as a division of Pediatrix and Mednax.
We thank you for trusting us with the care of your eyes, or those of your child or children. We take this care seriously and are honored you have chosen us for this care.
Vision or Medical Insurance?
We take most medical and vision insurances. Before your visit, please check our insurance page to see if your insurance is accepted. If you are not sure, please call us to verify at 425-823-EYES (3937).
Vision insurance is insurance that covers you for routine exams only--the basic eye exam to determine the health of the eyes and the need for glasses. This is typically an annual benefit that can be used once each year. It does not cover you for any medical issues your eyes may have: these are covered under your medical insurance.
Medical insurance covers you for any problems you might have with the health of your eyes: insurance companies do not consider the need for glasses or contacts a medical issue under any circumstances, even if the need for these treats an eye disease or prevents you from going blind. It's frustrating, but there are no situations where your glasses or contact lenses will be covered by medical insurance: if you or your child have need for glasses, it is worth it to explore vision insurance to cover these during your open enrollment period for insurance (usually in November or December of each year).
A refraction is the determination of the need for glasses or contact lenses. It is an integral component of any complete eye exam but is identified as a separate service by your insurance company, both the medical and the vision types of insurance. Vision insurance covers the refraction charge, and some medical insurances may cover this charge, but many do not.
With any of your eye care needs, our staff will work with you to get you the best coverage for your situation. Whether the exam is routine (vision insurance) or medical (medical insurance) is determined by the doctor during your exam: if medical issues are discussed and addressed, the exam will be medical. If there are no medical issues, even if your primary care doctor referred you for evaluation, the exam must be billed routine (these are your insurance company rules, not ours).
Should you find your exam is not covered by your insurance, we offer a substantial cash discount for your exam. Many times, our front office staff can help you sort this out at the time of your appointment. If you receive a bill you don't believe you should have received, please call us at 425-823-EYES (3937) and we will do our best to help you sort out the situation!