Friday, September 10, 2010
   
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EYE REPUBLIC Bills, Payment Options, Insurance, Philhealth

Bills, Payment Options, Insurance, PhilHealth

Your Bill

Patients who are seen at the EYE REPUBLIC Ophthalmology Clinic will receive a bill from the clinic. The clinic charges a facility fee which covers the costs of running the facility. The current facility fee is 250 pesos. Some health plans cover the facility fee. The clinic bill may also include charges for diagnostic and laboratory tests, radiology services, optical products, prescription drugs, and supplies used in patient care.

If you are seen in the Emergency Room you may be asked to pay applicable co-payments for Emergency Services at the time of the visit. The physician bill for professional services will be charged by the EYE REPUBLIC Ophthalmology Clinic. If your health plan has an office co-payment you may be asked to pay that amount at the time of your appointment.

If you have questions about your health benefits, please call your insurer to ask if a service is covered and to determine if there are any co-payments, coinsurance, or deductibles for which you will be responsible.

Out of Pocket Options

For non-covered services, EYE REPUBLIC accepts cash, cashier check or money order, VISA, MasterCard, American Express, JCB, and BPI.

Visa Mastercard American ExpressJCBCirrusExpress Payment System EPSBPI

Most out-of-pocket procedures like laser vision correction, Crystalens, Botox, Restylane, and Eyelid Rejuvenation have a single fee that includes all post-operative visits during the routine follow-up period. Payment arrangements must be made at least seven days prior to the procedure.

Please feel free to contact us with your questions.

Insurance Arrangements

If your visit or procedure is covered by insurance the EYE REPUBLIC Ophthalmology Clinic will bill your insurer directly. Please bring your insurance card and forms with you to your appointment. EYE REPUBLIC Ophthalmology Clinic's Registration Department can also verify clinic visit and insurance information in advance by calling up the specific clinic you wish to visit.

Please make sure that any referrals or pre-authorizations required by your insurance have been obtained in advance of the service. You will be billed for all applicable co-payments and deductibles allowed by your plan. If we are unable to verify your insurance at the time of service you will be asked to sign an insurance waiver and assume responsibility for your bill until the necessary data is obtained by the EYE REPUBLIC Ophthalmology Clinic. EYE REPUBLIC Ophthalmology Clinic physicians, partners of the Ophthalmic Consultants Philippines Co., are individually accredited with PhilHealth and many commercial carriers.

International, cosmetic and self pay patients are asked to provide a deposit based on an estimate of charges. The balance of payment is due upon discharge. If your procedure is not covered by insurance, an EYE REPUBLIC Ophthalmology Clinic financial counselor will be happy to work out a payment plan with you.

Health Plans

EYE REPUBLIC Ophthalmology Clinic offices are in-network providers for literally dozens of health and vision insurance plans. To find out whether we are providers with your insurance, please contact us in advance of your appointment. We provide complimentary insurance billing and will help you obtain prior authorization for covered procedures which require this process. Under many circumstances, insurance companies consider LASIK, Botox, Restylane, Eyelid Rejuvenation and some other procedures to be non-covered services. As each case is unique, we encourage you to learn about your own plan's offerings, and we will assist you in determining your coverage where possible. Here is a list of EYE REPUBLIC accredited HMOs.

PhilHealth (PHIC)

Our Eye MDs are Philippine Health Insurance Corporation (PHIC) Accredited Health Care Providers. Asian Hospital, Medical City, and St. Luke's accepts PhilHealth accredited individuals.

Hospital Fees

Your hospital bill will include charges for all hospital services including operating and recovery room costs, nursing and technical personnel and supplies. It may also include charges for services requested by your physician such as laboratory tests, radiology, drugs, supplies, therapies, and consultations.

Your surgeon, anesthesiologist, and any other medical consultant will be billed to you separately by the physician's billing office.