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Financial Policies at Wichita Optometry
Thank you for choosing our office for your vision and eye care needs. Our goal is to make you feel welcome and important as we serve you with the best care possible by demonstrating a commitment to provide thorough, state of the art, ocular services and eyewear products. We use the latest technology and diagnostic equipment and offer the newest options in ophthalmic lenses for both glasses and contacts. Our dispensary is stocked with over 700 frames in all price ranges. Wichita Optometry doctors provide treatment and management of eye disease and injuries in addition to pre- and post-operative care for both laser refractive surgery and cataract surgery. We are also available on a “same day” basis for acute ocular conditions including: injuries, infections, sudden vision change or loss. One of our doctors is on call during non-office hours should the above situations arise.
Wichita Optometry doctors are providers for numerous vision insurance panels. If your insurance is listed below, our office will file your insurance (this list can also be found on the “insurance” page of the website). Your responsibility will be for any co-payment and other charges your insurance does not cover. Our office will help you receive your maximum benefits, if you have provided us with the necessary current insurance information at the time of examination, or previous to the time your eyewear is ordered. Otherwise, you will be responsible for all costs incurred. We will not become involved in disputes between you and your insurance company regarding deductibles, co-payments, coverage, etc. If your insurance company has not paid the balance within 60 days of service, and it is determined that they will not be paying, you will have 30 days to pay the balance. Should the account be referred for collections, you will be responsible for collection fees and expenses.
If your vision insurance is not listed below, you will be responsible for all fees and charges that you incur. Payment is due the day of the examination unless prior arrangements have been made. Our office will provide you with an itemized statement that you can submit to your insurance company for reimbursement.
|Medicaid (Dr. Blasi)||United Health Care|
|Blue Cross & Blue Shield of Kansas||Health Partners of Kansas (HPK)|
|Boeing Vision Plan||
Superior Vision (Dr. Fleming, Blasi & dispensary only)
|Policeman's Benefit Fund||Vision Care Direct|
|Cigna||Vision Service Plan (VSP)|
|Preferred Health Care (PHC)||Tri-Care|
|Eyemed (All plans)||Humana MyComp Benefits Vision Plan (Dr. Blasi & dispensary only)|
|Preferred Health Systems (PHS)|
|Fireman's Benefit Fund|
Opticare/Sunflower/United Healthcare (Dr. Blasi-new patients & Dr. Yarrow-existing patients only)
Ocular Benefits/Amerigroup (Dr. Blasi & dispensary only)
|Humana Advantra: this office is not a contracting provider but if you carry this insurance we will file the claim on your behalf and will accept Humana allowable. Co-payments, co-insurance and deductibles still apply.|
As a patient you are entitled to a copy of your clinical findings (the original examination document).
A clinical summary is often easier to review and understand. We are happy to provide you with a clinical summary after your appointment. This summary contains a list of diagnosis your doctor assigns and an explanation of each diagnosis. We will provide this to you at your request within 48 hours of your examination.
We accept cash, check, Visa, MasterCard and Discover. A $30.00 returned check fee will be assessed for any returned checks.
50% down payment is required to order glasses or contact lenses, the balance is due when they are dispensed.
If your insurance plan requires a co-payment, you are expected to pay this at the time of service.
If you do not have vision insurance for services provided, a 20% administrative discount will be given if the account is paid in full on the day of service. This applies to services only; glasses, contacts and other eyewear are not included.
Refunds and Small Balances
In an effort to limit trivial transactions between the practice and our patients, in general, if your balance is less than
$5.00 we will write off that balance and not bill you for it. Likewise, if we owe you less than $5.00, unless you specifically request otherwise, we will write off these small balances. We will not write off these balances when they are outstanding insurance claims.
Refunds are made after all insurance claims have been settled. If a refund is due, in general, you can anticipate receiving the refund within two weeks of our learning that a refund is due.
Accounts with services over 60 days old are considered “Past Due.” Our billing staff will make a reasonable attempt to notify you if your account has reached a “Past Due” status. It is important that all changes in your name, address, phone number, insurance, or employment be relayed to our office as it can affect the billing of your account. If we are unable to locate a patient, payment is not received, or satisfactory payment arrangements are not made, then an account will be referred to our collection agency. Should this occur the patient will be responsible for collection fees and expenses.
Lack of Cooperation
We are grateful for all of our patients and the opportunity to serve them. We appreciate your assistance in helping us complete our work in an efficient and accurate manner. We believe that all patients should be treated with dignity. We reserve the right to terminate a patient from the practice in those rare cases when a patient may be verbally or physically abusive, refuse to give necessary information, or is non-compliant with ocular instructions, treatment and advice.