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• If you have a medical eye problem, your medical insurance may pay for most or all of your exam, treatment, and surgery fees.  We participate with most insurances, including Medicare and Medicaid.  See the listing of insurance companies (later on this page) with which we participate.

• For routine eye exams, we also participate with Davis Vision and National Vision Administrators (NVA).

• If your insurance (3rd Party) is not on our participating list, they may still pay, but you may need to submit the claim to them yourself, using your receipt which will contain the necessary procedure and diagnostic codes.

• Your insurance plan may require you to get a referral from your primary care doctor before seeing a specialist, such as we are.  All HMO plans require this.

• Many insurances require you to pay a Co-Pay amount at the time of service, even though they are "covering" the service.  Also, many plans have a deductible which must be met before they start paying.

• If you have no insurance which is applicable, the patient is responsible for the fees at the time of service.

 

HOSPITAL AFFILIATIONS

• Lancaster General Health Hospital
• Lancaster General Health Suburban Campus
• Lancaster Regional Medical Center
• Heart of Lancaster Regional Medical Center
• Ephrata Community Hospital

 

INSURANCE PROVIDERS (with whom we participate)

(This is not a complete list.  Other variations of plan names are constantly being added.)

A

AETNA GOLDEN CHOICE
AETNA GOLDEN MEDICARE
• AETNA/USCH (Referral needed)
ALLIANCE HEALTH PLAN
• ADVANTRA FREEDOM
• AMERICAN PROGRESSIVE
• AMERIHEALTH ADMINISTRATORS

B

• BLUE CROSS/BLUE SHIELD AND ALL AFFILIATES
• BRAVO HEALTH PLANS

C

• CAPITAL BLUE CROSS
• CIGNA PPO and Referral PPO; EPO; and OPEN ACCESS PLUS
• CORESOURCE
COVENTRY ADVANTRA FREEDOM
COVENTRY HEALTHCARE

D

• DART
DAVIS VISION ("Vision" type plan)

E

• ECH Amish/Old Order Group Surgery Plan through PHC
• EDUCATORS HEALTH PLAN
• ERIN GROUP ADMINISTRATORS

F

• FIRST HEALTH
• FIRST HEALTH LIFE & ACCIDENT
• FREEDOM BLUE

G

• GATEWAY HEALTH PLAN (Referral needed)
• GATEWAY MEDICARE ASSURED
• GEISINGER HEALTH PLAN (Referral needed)
• GREAT WEST

H

• HEALTH AMERICA
• HEALTH ASSURANCE
• HEALTH CENTRAL
• HEALTH PARTNERS (Referral needed)
• HIGHMARK BLUE SHIELD
• HIGHMARK MEDICARE ADVANTAGE PPO

I

• INTERCOUNTY

K

• KEYSTONE HEALTH PLAN CENTRAL (Referral needed)

M

• MAMSI –PPO
• MEDICAID – THREE RIVERS (Referral needed)
• MEDICAL ASSISTANCE (ACCESS) (Referral needed)
• MEDICARE
• MEDICARE ADVANTAGE (Numerous plans of this type)
• MEDPLUS – THREE RIVERS
• MOTOR VEHICLE (Numerous plans of this type)

N

• NATIONAL VISION ADMINISTRATORS
• NVA ("Vision" type plan)

O

• ONE NET PPO

P

PENNSYLVANIA BLUE SHIELD
• PHC
• PPHN (PENNSYLVANIA PREFERRED HEALTH NETWORK)
• PREFERRED HEALTH CARE (PHC/UNITY)
• PREMIERE BLUE

Q

• QTC

R

• RAILROAD MEDICARE

S

• STERLING HEALTH PLANS

T

• TODAYS OPTIONS
• TRICARE

U

• UNISON (Referral needed)
• UNISON ADULT BASIC (Referral needed)
• UNISON ADVANTAGE (Referral needed)
• UNISON KIDS (PENNSYLVANIA CHIP) (Referral needed)
• UNISON MEDPLUS (Referral needed)
• UNITED HEALTH CARE
• UNITED HEALTH CARE (ONE NET PPO)
• UNITY
• UPMC
• UPMC FOR YOU

W

• WORKERS COMPENSATION (Numerous plans of this type)

 

 
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