Insurance Information
Insurance can be confusing. The friendly and informed staff at Tacoma Eye at Westgate are familiar with nearly every insurance carrier.
Insurance carriers have the final say in what they will and will not cover. It is important to read the Explanation of Benefits you receive from the insurance carriers. The ultimate responsibility of any monetary balance is that of the financially responsible party.
Below is a list of our featured in-network and out of network partners.
It is your RESPONSIBILITY to know your insurance and provide accurate information to our office before your eye exam.
>Our office is not contracted with AppleHealth or Medicaid. Please consult your respective vision plan for alternate providers in the area. If a patient with MEDICAID wishes to be seen and does not disclose they have MEDICAID/APPLE HEALTH, they will be billed at the usual and customary rates for services rendered. Signing our financial agreement indicates your acknowledgment of such.
>MEDICARE recipients: Section 1848(g)(4) of the Social Security Act requires that all physicians and suppliers who provide covered services to Medicare beneficiaries bill MEDICARE for services rendered. Not supplying your MBI card (the “medicare card” you submit to all your other doctors) will result in being billed at the usual and customary rates for services rendered. Signing our financial agreement indicates your acknowledgement of such.
Don’t see who you are looking for? Please call our office for assistance (Be sure to have your insurance cards handy!). Our staff can help.
Featured Insurance Carriers
After we have your insurance information we verify your insurance to be sure it is active. It is the patient guardian responsibility to know their specific carrier details – our office cannot do this for you. Our office is in-network with select vision and medical plans (carriers) . Some carriers (examples are United healthcare or Tricare) require referrals or prior authorizations. Please contact your PCP so we have the “Prior Auth” or else you may be held liable for the entire charge and your carrier will deny helping you with the cost of the exam! If you have questions please call your carrier to be sure you know their requirements, ACO, PPO, etc. – We cannot do this for you. If your carrier considers our office “open access” we can still perform your exam. You would need to provide invoices from our office directly to your carrier on your own behalf. Reimbursements will come directly to you subject to your plan’s restrictions and policies. If you have any qeustions we encourage you to call your carrier directly with questions.
VERSANT Out of Network Letter[PDF]
NBN Out of Network Letter [PDF]
UnitedHealthcare Out of Network Letter [PDF]