Cascade Eye, M.S.'s 1025 153rd St. SE, Suite 100
Mill Creek, WA 98012
(425) 316-0338
Billing/Insurance


Health Care Plans/Manage Care Plans/PPO

We accept most insurance, but please check your insurance handbook or check with your insurance company to verify we are a participating provider for your plan.

Not all medical plans cover routine vision exams (when patients have no eye complaints or when no known eye condition exists). You may have a vision plan that covers routine eye exams that is separate from your medical plan. You will need to contact your insurance carrier to verify your coverage for routine vision benefits. A common vision plan in this area is VSP (Vision Service Plan), and we are currently not providers for VSP.

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Co-payments

Co-payments are due at the time of service. Co-pay amounts are usually listed on your insurance card as either an office visit (OV) or specialist (SP) visit.

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Medicare

We are participating providers under Medicare. We will file all claims to Medicare with a valid signature on file, and we will file with your secondary insurance.

We accept the reimbursements set by Medicare for medical and surgical services covered by the Medicare program, including surgery. If you have Medicare, you will be financially responsible for any required co-payments, deductibles, coinsurance, and services that are not covered by Medicare. Routine eye exams and refractions are not covered by Medicare and are payable at time of service.

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Medicare Refraction Policy

Refraction is a measurement of the lens power necessary to prescribe glasses or other corrective lenses. Medicare does not cover routine refractions or routine eye examinations (when patients have no eye complaints or when no known eye condition exists). Medicare allows us to charge patients separately for the refraction portion of the examination, since it is not a covered service. If you have a separate vision plan that covers routine or annual eye examinations and/or glasses, please let us know.

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Prior Authorization

Managed care plans and most health maintenance organizations (HMOs) require you to obtain authorization for services from your primary care provider (internist, family practitioner, pediatrician, etc.). It is your responsibility to obtain a referral authorization from your primary care provider. This is often required by your insurance before you visit our office, even when the visit is for an urgent problem. Please contact your insurer if you have questions, or contact the office of your primary care provider.

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Workers Compensation

Please inform us if your visit is due to a work-related injury.  We will file your claim with Workers Comp (Labor and Industries) when we receive your claim number. Please notify our office with your claim number as soon as you receive it. The provider that is the first to see you for your injury is the provider that needs to initiate the claim with Labor and Industries. If your claim was initiated elsewhere, please bring documentation and your claim number to our office. If we are the first provider to see you for your injury then we will initiate the claim paperwork.  

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Optical Goods/Contact Lenses

For any cost that is not covered by your plan, payment in full is expected at the time of ordering for all contact lenses.

Contact lens evaluations and contact lenses are not covered by some plans. Please check with your carrier. We have a limited contact lens practice, so please discuss your contact lens needs when you schedule your appointment.

Currently we do not have an optical shop, but we do provide prescriptions for glasses that you can take anywhere that sells glasses.

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Payment

For your convenience, we accept Visa and MasterCard (credit or debit card) as well as cash or check.

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Important Information
Please Read:
Bring your insurance card to the appointment so that we may copy it for our records.

Additionally, please bring a list of medications, pertinent medical records, and your current glasses (even if you donít wear them) with you.

Cascade Eye