To save time during your appointment, print out these forms, fill them out and bring them with you.
Please bring the following to your appointment:
- Patients insurance card
- Photo ID
- Referral if required by insurance
- A list of patients current medications
- Patients eyeglasses or contact lenses
Downloadable Forms:
Patient Survey
Health Insurance Plan Participants
We want you to get all of the benefits you are eligible for from your health insurance coverage. Many health insurance plans require a referral from your primary care physician prior to consultation with a specialist. In addition, most plans also require preauthorization before any type of surgical procedure or laser treatment. It is your responsibility to obtain the required referral from your primary care physician. Failure to obtain a referral or preauthorization, if required, will result in your health insurance denying payment for our services. In this case, you will be held financially responsible for all services obtained through our office.
If you are uncertain whether your health insurance requires a referral or preauthorization, please call your health insurance’s customer service representative or your primary care physician’s office for more details. If you need assistance, please call our:
Billing Department at (718) 261-4120
- Aetna/US Healthcare (HMO, PPO, POS)
- Affinity
- AlphaCare
- ArchCare
- Beech Street
- Blue Cross/Blue Shield (All Plans)
- Cigna (PPO, Open Access Plus)
- Emblem Health CompreHealth
- Emblem Health EPO
- Empire Plan
- Elder Plan
- Fidelis Medicare & Medicaid
- First Health
- GHI
- Great West
- Healthcare Partners
- Health First (All Plans)
- Healthy Living
- HIP
- HIP-CMO
- Humana (PPO, Medicare Advantage, dual Medicare/Medicaid & commercial)
- Magnacae
- Medicare
- Metroplus
- Multiplan
- Oscar Health Plan
- Oxford (All Plans)
- PHCS
- Railroad Medicare
- Select Pro
- Senior Whole Health
- Tricare
- Unicare
- United Healthcare
- US Family Health Plan
- Village Care Max
- VNS Choice
Many health insurances require a co-payment. You are required to pay for any co-payments at the time of your visit. We will bill your health insurance directly for our services. After your health insurance has made payment, we will send you a bill for any applicable patient balances (i.e. deductibles, copay, co-insurance).
Vision Insurance Plan Participants
- 1199 National Benefit Fund
- Blue View Vision
- Davis Vision (HealthFirst, Fidelis, BCBS)
- Spectera Vision (United Health Care)
- March Vision
- Superior Vision (Health Plus Medicare/Medicate, Affinity, VNS, Access Medicare, Health Plus Medicare)
- United Federation of Teachers (UFT)
- VNS Choice
- VSP
And Most Local Carriers
Methods of Payment
We accept cash, check, and all major credit cards.
Flexible Spending Plans
Many employers offer this as a health benefit. FSP, these plans are pre-tax contributions made directly from your paycheck and can be used for eligible healthcare-related expenses such as Laser Vision Correction. For more information on this type of plan check with your health insurance administrator.
CareCredit
CareCredit for Vision
We’re pleased to offer our patients the CareCredit® card, North America's leading patient payment program. CareCredit lets you begin your procedure immediately — then pay for it over time with low monthly payments that fit easily into your monthly budget. Now you don’t have to save up for years to finally get the vision you’ve always wanted.
Like a Credit Card, but Better
CareCredit cards work just like a regular credit card, but is exclusive for healthcare services. CareCredit offers low monthly payment plans for healthcare procedures not commonly covered by insurance, including Laser Vision Correction Surgery.
Learn more by visiting www.CareCredit.com or call (800) 365-8295.
Make a Payment
You can also make a payment for your bills online.
