TO SEE IF WE PARTICIPATE IN YOUR PLAN CLICK HERE OR CALL OUR OFFICE AT 814-472-4240
Our office participates in many insurance plans which may help cover the cost of your vision care needs. We are here to assist you and will file all the necessary paper work in order to process your insurance claim.
Though the most reliable source for verifying eligibility and benefit allowances is your insurance company, we are happy to help you find the answers to some of your questions right here!
"HOW WILL I KNOW IF I HAVE VISION INSURANCE?"
Having medical insurance does not automatically mean that you will have coverage for routine vision care. Most insurances issue an identification card which may indicate your covered benefits. There is usually a phone number on the back of the card which you should call to verify your benefits or eligibility. If you do not have an ID card, you should contact your employer for more insurance information.
"DOES MY INSURANCE PAY FOR ALL MY EYE CARE NEEDS?"
That depends. There are many different insurance plans and benefit allowances. Some will cover your basic needs in full, others will partially assist in covering your eyecare expenses. Our staff is experienced and knowledgable of many insurance matters; however, the only way to be certain of your specific benefits package is to contact your insurance carrier.
"I KNOW I HAVE VISION INSURANCE, BUT DO I NEED A CLAIMS FORM?"
Though most insurances do not, certain plans DO require claims forms. The most popular local plan requiring a form is VBA (Vision Benefits of America). If your insurance plan pays benefits directly to you instead of to our office (Private Insurance), you will also need a claims form. These forms are NOT available in our office and should be requested directly from your insurance provider PRIOR to scheduling an appointment. If you are unsure of whether or not a form is required, CLICK HERE
or you may call our office. We will be happy to assist you!
"IF I GET A RECALL CARD IN THE MAIL, DOES THAT MEAN THAT I AM ELIGIBLE FOR MY INSURANCE BENEFITS, TOO?"
No. Dr. Seymour decides how often you should be seen based on your medical needs, not your insurance eligiblity.
"I AM ELIGIBLE FOR MY INSURANCE....SO WHY MIGHT I HAVE TO PAY?"
Each insurance plan pays differently. Most allow a benefit for exam and materials, others provide coverage for an exam only. Some insurances cover contact lens evaluations, others do not. Some may require that you pay a copayment. Many plans provide a frame and lens allowance OR a contact lens benefit. Add ons or frame and lens upgrades beyond basic coverage may also be your responsibility.
"IF I HAVE TWO DIFFERENT VISION INSURANCE PLANS, CAN I USE BOTH?"
If you are purchasing TWO sets of frame and lenses or glasses AND contacts, we can bill both insurances. We cannot; however, bill two insurances for THE SAME set of materials. If you would like to attempt to collect your overages from your secondary insurance, we will happily provide you with an itemized receipt.
"DO I NEED A REFERAL TO SEE DOCTOR SEYMOUR?"
If you're seeing Dr. Seymour for any reason other than routine vision care, and you have a Primary Care Physician (PCP), you may need a referal. Please contact your doctor for a referal prior to your appointment.
NEW OFFICE HOURS: Monday 12:00 to 7:30 Tuesday Wednesday Friday 8:30 to 4:30 Saturday By Appointment CLOSED THURSDAY & SUNDAY