What to Expect

Office Visits

  • Bring your insurance card(s) and picture ID with you to all your appointments. We will scan your cards and ID into our system
  • Bring your insurance copay with you to your appointments. We will collect at the time of service
  • Bring a list of your medications including the name of the medication, dose and how often taken to all your appointments
  • Generally, plan to be at the office from 1-1.5 hours for an exam. Please arrive at the time given to you. Arriving earlier than your appointment time won’t necessarily get you through faster.
  • We will dilate your eyes for your exam. We have dark lenses that we can provide to cover your eyes after dilation. You may also want to bring sunglasses with you for after your appointment.
  • If you do not know how you will respond to having your eyes dilated, please bring a responsible driver to drive you home.

Surgical Procedures

  • Bring your insurance card(s) and picture ID with you to all your appointments. We will scan your cards and ID into our system
  • Bring your insurance copay with you. We will collect it at the time of service.
  • It is not necessary to discontinue any prescribed medications or to alter your customary schedule unless previously discussed with your surgeon.
  • Please complete the pre-operative history and physical plus the medication list and bring it with you to the surgery center.
  • Your stay is determined by the type of procedure/surgery. Please arrive at the time given to you. Arriving earlier than your appointment time won’t get you through faster. Generally, plan to be at the facility between 2 and 3 hours for a surgical procedure.
  • Surgery will be performed under local anesthesia. A doctor or nurse will be in constant attendance.
  • After a surgical procedure, you will be required to bring a responsible driver, at least 18 years of age, to drive you home. Failure to have someone available to drive you home will result in cancelling or rescheduling your surgical procedure. We recommend that someone remain with you for the first 24 hours after your surgical procedure.
  • You will be seen in the physician office the day after your surgery. Please have someone drive you to that appointment. You will be able to drive after this appointment.
  • A nurse will call you 2-3 days before your scheduled procedure to gather important information about your surgery.
  • Wear a washable, loose, two-piece, comfortable outfit.
  • The Surgicenter will provide you with a locker for your personal possessions during surgery. The locker is not locked; do not bring valuables such as jewelry, iPads or laptops. Billings Cataract & Laser Surgicenter assumes no responsibility for lost, stolen, or misplaced items.
  • Bathe or shower and brush your teeth the morning of surgery. Do not wear any facial or eye makeup.
  • Your surgeon will provide post- operative instructions to take home with you after your procedure.

Medicare Information

The following information applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). Some patients may have a Medicare Advantage plan, Medicare Supplement Insurance, or retirement benefits that help with routine vision services but these are not part of the Original Medicare Program.

For your convenience, our office is a participating provider with Medicare. This means that our office bills Medicare for your visits, tests, and materials. Medicare then reviews all submitted claims and if approved, reimburses our office 80% of the approved amount. The remaining 20% (the copayment) is your responsibility as the Medicare beneficiary.

Deductible. Medicare has an annual deductible that takes effect each January. If our office is the first to submit Medicare claims for you each year, Medicare will notify us that you have not yet met your deductible for the year. Medicare will not pay your allowable fees until your deductible is met.

Routine Vision. Original Medicare does not cover routine vision services such as eyeglasses and eye exams for far or near-sightedness. Medicare does not pay for your refractive services. Refractive services are the part of your eye exam that determines your prescription for glasses or contacts. If you are seen for a routine eye exam and you have no medical diagnosis, Medicare will not cover any fees for your visit.

Medicare may cover services if associated with eye problems that result from an illness or injury such as cataracts or macular degeneration.

Medicare covers the following items and services associated with cataract surgery:

  • A conventional Intraocular lens implanted during cataract surgery;
  • Facility and physician services and supplies required to insert a conventional Intraocular lens during cataract surgery; and
  • A basic pair of eyeglasses or contact lenses after each cataract surgery with insertion of an Intraocular lens.

Intraocular lens (IOL). A conventional IOL is a small, lightweight, clear disk that replaces the focusing power of the eye’s natural crystalline lens. Medicare covers a conventional IOL when it is implanted as a part of cataract surgery.

Presbyopia (near objects appear blurred) and astigmatism (objects appear blurred) are common eye problems. Medicare does not cover presbyopia-correcting IOLs or astigmatism-correcting IOLs. Presbyopia and astigmatism can be corrected with eyeglasses or contact lenses after surgery.

Eyeglasses. After cataract surgery with an IOL, Medicare Part B helps pay for a portion of corrective lenses: one pair of eyeglasses or one set of contact lenses. Eyeglasses and contact lenses are covered even if you had the surgery before you had Medicare. Both lenses may be covered even if you had cataract surgery on one eye only. A prescription signed by your doctor is required for the glasses or the contacts. Suppliers of the glasses or contact lenses must be enrolled in Medicare and must meet strict standards to qualify as a Medicare supplier. Eye Physicians Optical is enrolled in Medicare as a supplier of durable medical equipment.

Medicare will reimburse or pay for standard eyeglass frames (frame up to $70) and pay for standard lenses for both eyes up to lined bifocal or trifocal. The patient is responsible for the copay amount of 20% of the Medicare approved amount plus Part B deductible that has not been met. The patient is responsible for additional costs for upgraded frames or lenses. For additional information, you may contact Medicare at 1-800-MEDICARE (1-800-633-4227).

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