A refraction is a non-covered Medicare expense
A refraction is when the doctor checks to see if you need a new eyeglass prescription or a change in your current eyeglass prescription. This charge is not deemed medically necessary by Medicare and payment for the refraction is expected at the time of your visit. Your Medicare handbook provides additional information regarding non-covered expenses.

Medicare Deductibles
The annual Medicare deductible will be assessed from the first charges that Medicare receives each calendar year. The annual Medicare deductible is your expense.

If your Medicare deductible has not been met in full prior to your visit, we will collect the Medicare allowance for the services performed.

You will not be required to pay the Medicare deductible if you have the following insurances:

• Blue Shield 65 Special Plan C
• AARP Plan C
• Federal Blue Shield.

The 20 Percent Due After The Medicare Payment
We inform Medicare of the supplemental insurance information that you provide to us. Medicare forwards an explanation of benefits to all supplemental insurers with which there is an automatic crossover arrangement. If your supplemental insurance does not have automatic crossover setup with Medicare, you will need to submit a copy of your Medicare explanation of benefits to your insurance for your reimbursement.

Medicare guidelines do not allow our office to waive any charges stated as patient expense
We request that payment be made to us upon receipt of our statement. You will receive only one statement.