WE ACCEPT ALL MAJOR CREDIT CARDS and MOST MEDICARE/MEDICAID.

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If you have questions regarding insurance, please email ocularprosdesign@gmail.com

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Standard Medicare:

Prosthetic eyes and related services are a covered procedure under Medicare. Prior to your fitting, a request from your ophthalmologist is required. This request can be in the form of a written prescription from your ophthalmologist or a letter requesting this service.

After meeting your annual deductible, Medicare pays 80% of their allowed amount. If you have a supplemental insurance, they should pay the remaining 20%. We accept Medicare assignment, therefore, payment is not due at the time of service.

 

Medicare Replacement Plans:

You will need to go through your Primary Care Provider (PCP) to receive an out-of-network authorization to our office. If your doctor’s office requires assistance in getting this authorization for you, please have them call our office.

 

Texas Medicaid:

Texas Medicaid covers patients aged 20 and under for prosthetic eyes and related services. Each type of Medicaid (Traditional and Medicaid Replacement) requires prior authorization from your PCP or ophthalmologist .​

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Veteran’s Administration:

We are a VA provider. If your VA doctor has referred you to us, please make sure to contact your VA Prosthetic Department for prior authorization before making an appointment with this office.

 

Private Insurance:

Most insurance companies will pay at least a portion of our fee. We accept most insurances including Medicaid.Our staff is always available to help with regards to insurance questions.   The patient is responsible for the difference between the allowed amount of their policy, co-insurance, and the billed charges. We also work with some support agencies. Contact us for more information.