Western Rockies Eye Center, P.C.

FRONTIER PLAZA

2460 Patterson Rd. Unit #2

Grand Junction, CO 81505

            Gregory E. Kellam, M.D.          Tracy D. Carter, D.O.             Michael E. Luby, O.D. 

   

 
 

(800)221-8196 - Grand Junction, Colorado

BILLING /COLLECTION POLICY

  

We participate with many different insurance companies for medical benefits. We are happy to bill your insurance as long as we are a participating provider with your plan. It is important for us to have copies of your current insurance cards and photo I.D. (Driver’s license).

All deductible, co-payments and coinsurance are payable when services are rendered. We accept cash, checks and credit cards (Visa, MasterCard and Discover). Cash patients should plan to pay for all services at the time of visit. Refractions, the portion of your eye examination that determines the correction for glasses prescriptions, are not a benefit of most insurances. Please be prepared to pay these balances at your visit. If your insurance does cover this service we will gladly refund your payment. If you choose not to have a refraction let the technician know when you are in the examination room.

MEDICARE

Charges for services rendered have been determined based on usual and customary fees for this area. Routine eye examinations are not covered by Medicare and most supplemental insurance plans. Payment is due at time of service from patients who have a routine eye exam with no medical complaint.

CONTACT LENS PATIENTS

Western Rockies Eye Center offers the benefit of having an Optometrist on staff for contact lens fitting and dispensing. Most insurance companies do not pay for the contact lens fitting fee, which runs between $30 and $50, depending on the type of lens your require. Additionally, most do not pay for contact lenses. It is our policy to collect the fitting fee at time of service. The contacts must be paid in full before they can be dispensed to you.

 

 PATIENTS WITH VISION PLANS

You must let us know prior to your visit if you have a vision plan so that we may obtain the necessary authorization. It is also important to keep us informed of your vision plan, so that we can determine whether or not we are participating providers. Dr. Luby is the only provider in our office that participates with EYEMED. Please understand these plans only pay for "Routine Vision Exams”. If you are being followed for a medical condition or are diagnosed with a medical condition during your exam, that visit will be billed to your medical insurance. Please contact the billing office with any questions prior to your visit.

 INSURANCE CLAIMS

1.)    We will bill all claims to your insurance company with which we participate.

2.)    The business office will file supplemental claims following Medicare payment.

3.)    If payment is not received within 30 days of billing the business office staff will contact your insurance company and check the status if the claim. On occasion we may need your assistance for payment.

4.)    Claims not paid within 90 days from the date of service will be patient responsibility.  

Patients will receive statements monthly when a balance is owed. If you have questions regarding your statement please call our business office staff at (970)243-9000 Monday – Thursday 8:00am to 5:30pm. The doctors do not answer questions regarding billing issues. Your account is considered past due when your balance is 30 days past the date of service. Once your account reaches 90 days past due we will turn the account over to an outside collection agency for payment. It is the policy of this office that when your account is placed into collections we will no longer see you as a patient and you will be required to transfer your care to another physician. All collection fees will be your responsibility.