Financial Policy
Eye Consultants of Northern Virginia, PC Payment Policy
Thank you for choosing ECNV. We are committed to providing you with quality and affordable health care. Because some of our patients have had questions regarding patient and insurance responsibility for services rendered, we have been advised to develop this payment policy. A copy will be provided in your patient portal.
Insurance. We participate in most medical insurance plans, including Medicare. We do not participate with vision insurances.
- If you are not insured by a plan we do business with or are not insured, payment in full is expected at each visit.
- If you are insured by a plan we do business with, but don’t have an up-to-date insurance card or valid referral, payment in full for each visit is required until we can verify your coverage.
- Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions you may have regarding your coverage.
Copayments and deductibles. All copayments and deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect copayments and deductibles from patients can be considered fraud. Please help us in upholding the law by paying your co-payment at each visit.
- A $35.00 returned check fee will be assessed on all returned checks
Referrals. We are a specialty practice and if you have a managed care plan (HMO) that requires a referral to see a specialist, you must obtain a referral prior to your visit for it to be covered under your insurance plan. Referrals are authorizations from the insurance plan initiated by your primary care provider (PCP).
Non-covered services. Please be aware that some – and perhaps all – of the services you receive may be non-covered or not considered reasonable or necessary by Medicare or other medical insurers. You must pay for these services in full at the time of the visit.
- There is a $20.00 fee for completion of various forms (DMV)
- There is a $60.00 charge for all non-covered refractions.
- There is a $15.00 fee for release of medical records.
Proof of Insurance. All patients must complete our patient information intake before seeing the doctor. We must obtain a copy of your driver’s license and current valid insurance to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim.
Claims Submission. We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company many need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.
Coverage changes. If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits. If your insurance company does not pay your claim in 45 days, the balance will automatically be billed to you.
Nonpayment. If your account is over 90 days past due, you will receive a letter stating to pay your account in full. Partial payments will not be accepted unless otherwise negotiated. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency and you may be discharged from this practice.
Missed appointments. Please help us to serve you better by keeping your regularly scheduled appointment. Missed appointment charges will be your responsibility and billed directly to you.
- There is a $35.00 same day missed appointment charge
- There is a $250 surgical cancellation fee for elective surgery canceled within 5 business days of the procedure, or if you do not show up to the surgery center for the procedure
Our practice is committed to providing the best treatment to our patients. Our prices are representative of the usual and customary charges for our area and specialty. Thank you for understanding our payment policy. Please let us know if you have any questions or concerns.
