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Payment

Pay Your Bill

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Payment

  • In order to provide our patients with the best possible care and the amount of time that they need to be properly evaluated, we are a self pay (fee-for-service) practice and we do not participate with any commercial insurance plans nor Medicare or Medicaid. 

    • We can provide patients with an itemized superbill with appropriate CPT codes that they can submit to their insurance for out-of-network reimbursement​.  We recommend you call your insurance company ahead of time to see what may be covered under your individual out-of-network plan.  Please note that reimbursement may not be guaranteed and is dependent upon your individual insurance plan

    • We don't want cost to be a barrier to your treatment!  Unlike traditional vision therapy programs, we are flexible and can tailor your vision therapy program to fit your time schedule and financial needs

  • Payment is due at the time of service, by cash, check or credit card, unless you are a worker's compensation client (see below). 

  • All telemedicine visits must be paid at the time of service using a credit or debit card at the time of service.

  • Please call our clinic to inquire about specific fee questions. 

  • A Good Faith Estimate/Fee schedule is available - please contact our office for details.

Worker's Compensation 

We accept all forms of Worker's Compensation insurance.  Please contact your case manager and inquire about having an examination with Dr. Theis.  Your case manager and/or adjuster will need to contact our staff to set up the appointment and provide authorization. 

A statement on the Good Faith Estimate: No Surprises Act

You have a right to receive a “Good Faith Estimate” explaining how much your health care will cost.

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who or not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item of service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

  • If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate and the bill.


For questions or more information about your right to a Good Faith Estimate, visit  
www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.

 

For a summary of your rights and protections against surprise medical bills, please visit https://www.cms.gov/newsroom/fact-sheets/no-surprises-understand-your-rights-against-surprise-medical-bills

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