Patient Financial Policy | North Florida Eye Center, P.A. Dr. Maher Fanous, M.D.

Patient Financial Policy

Insurance

It is the patient’s responsibility to provide the clinic with current insurance information since our practice participates with a variety of insurance plans. Your insurance policy is a contract between you and your insurance company. We consider an insurance card similar to a credit card because you are asking us to bill another party (your insurance) for charges for the services you have been provided.


As a courtesy, we will file your claims for you. However, we will not become involved in disputes between you and your insurance carrier. This includes, but is not limited to, deductibles, co-payments, non-covered charges and “usual and customary” charges. We will supply information as necessary. You are ultimately responsible for the timely payment of your account.


We do not accept any HMO policies.


We accept the following:

  • Medicare
  • Blue Cross Blue Shield: Florida Blue, State of Florida, Blue Care, Blue Choice, University of Florida, City of Gainesville, all out of state plans
  • Cigna
  • Aetna
  • Humana (with a referral from their PCP)
  • United Healthcare
  • Avmed
  • Beech Street
  • GEHA
  • Tricare Standard
  • Vista
  • Choice Care (not HMO)
  • FIPA

Any deductibles, co-payments, co-insurance and non-covered services
are due at the time of service.



    Co-pays

    Your insurance company requires us to collect co-payments at the time of service. Waiver of co-payments may constitute fraud under state and federal law. Please help us in upholding the law by paying your co-payment at each visit. For your convenience we accept cash, check, or credit card (MasterCard, VISA, AMEX or DISC). If you do not bring proper payment to your visit, you may be asked to reschedule your appointment except in the case of a medical emergency.

    Patients with NO Medical Insurance

    If you do not have group or individual medical insurance, payment for professional services is expected at the time of service. As a courtesy, the practice offers a 30% discount of billed charges, to anyone with no insurance if paid at the time of service. This discount is available ONLY ON the actual date of service.


    If unable to pay at the time of service, at the discounted rate (30% of billed charges), we require a $200 down- payment toward all billed services, due at the time of check-in. If you have questions, we would recommend that you contact our billing department 352-331-7337 prior to your appointment.

    Waiver of Patient Responsibility

    Did you know your optometrist can help you with red eyes, pink eye, or sore eyes, foreign body removal and eye emergencies?

    Un-Paid Balances & Payment Arrangements

    If your insurance company has not paid the balance in full or you are unable to pay the balance in full, you will receive a statement notifying you of the amount due, you may call our billing office at 352-331-7337 to set up payment arrangements if necessary. If you fail to make payment in full, within 120 days, for the services that are rendered to you, your outstanding balance may be considered for further collection activity..

    Cancellations

    Cancellations are welcome. We do require 24-hour advance notice prior to the scheduled appointment time. A $25.00 fee will be charged to the patient's account if their appointment is canceled within the 24-hour period before to the appointment time.

    Late Arrivals

    A late arrival, not considered to be the responsibility of North Florida Eye Center, P.A. will be registered and worked into the schedule as soon as possible. If the patient is more than 30 minutes late, the appointment may be rescheduled.

    No Shows

    North Florida Eye Center, P.A. may charge a $50 “no-show” fee in the event that you do not show for your appointment and in which you do not cancel or reschedule with 24 hours’ notice. This will be applied to your account.

    Returned Checks

    The charge for a returned check is $30 payable by cash or money order. This will be applied to your account in addition to the insufficient funds amount. You may be placed on a “Cash Only” basis following any returned check.