Intermountain Eye Care

Patient Financial Policy

INITIAL VISIT

Please provide us with a current ID, insurance card and billing information if you would like us to bill your insurance for you. Payment is due at time of visit. We except cash, checks, Visa, Mastercard, American Express and Discovery.

HEALTH INSURANCE

We will bill your insurance company as a courtesy to you. Each insurance company has its own rules for determining how much they will pay on each claim. We will try to answer any questions you have about your insurance; however, your policy is a contract between you and your insurance company. It is your responsibility to know your insurance policy and be familiar with your coverage. You should contact your insurance company if you have questions regarding coverage. If your insurance company denies your claim you are responsible for payment in full.

SURGERY ESTIMATE AND PREPAYMENT

If you require surgery, as part of the pre-operative process we will make an estimate of the fees. Prepayment is due at surgery as follows:

Health Insurance Plans: unmet deductible and estimated co-pay
Self-Pay: In full

PAYMENTS

Unless we approve other arrangements, the balance on your statement is due upon receipt. If payment is not received, we reserve the right to refuse future appointments on delinquent accounts. If your account becomes past due, we will take necessary steps to collect this debt. We charge 18% annually on accounts over 60 days old.

Please review our Privacy Practice Notice (HIPAA Policy)


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