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Delaware Eye Care Center

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Delaware Eye Care Center Reviews (4)

Thank you for sharing the customers concerns regarding our BusinessThrough researching the individual's office visits, the following statements can be made:• The patient was examined on 11/24/for routine tension check for Glaucoma as statedIt is
customary for the Doctors to follow a patient's progress with this diagnosis once every three monthsAt this visit, the patient's eye pressure was elevated and a complaint of glare affecting their vision was notedEye medications were changed and an appointment to check the efficacy of the newly prescribed medication while evaluatingfor cataracts was scheduled for two weeks later.• The patient arrived on 12/8/as requested.It is stated in the chart by both the work up technician and Doctor: 'patient desires to return for cataract evaluation,' and 'patient complains of glare - cannot be dilated today (has to go to work).' Should a patient wish to pursue lens replacement surgery for cataracts, it is imperative to be dilated to ensure the eye is healthy enough to proceed with that form of intraocular surgeryTherefore,a cataract evaluation was suggested as a follow up when it would be convenient for the patient to be dilated.Said appointment was scheduled at the patients will for December 22,2014.• The disputed visit on 12/8/was billed to InsuranceThe Insurance Company deemed this visit acceptable, but was applied to their deduct ible,which had not yet been met.Unfortunately the electronic remittance of the payment did not make it to our system in a timely fashion, causing miscommunication of the actual amount dueThe allowed amount due for the services rendered,of which has been applied to the patients' deductible is: $53.85.The account has been adjusted appropriately at this timeSince this visit is tied to insurance,a reduct on below the negotiated allowed amount of coverage is not able to be offered.Please know the Physician rendering care to this patient provided the services deemed appropriate for their current findingsDue to the fact that there is differing plan coverage among all insurance providers,it is not possible to quote each persons out of pocket expense for care rendered at every visit, especially if the patient changes the course of the recommended exam at the time of visitLastly,the Doctors must do what is most appropriate for the patient's ocular health and cannot alter their professional judgement according to Insurance coverage.Thank you again for the opportunity to shed light on a situation that needed clarificationIf I can be of additional assistance please do not hesitate to contact me at ***

Hello *** *** Thank you for forwarding this to meAs we discussed over the telephone I am the new Director for Delaware Eye CareI wanted to
report back my findings from an investigation that was conducted on Mr***s accountHe was credited back the $copay that was charged to his account on 11/24/Unfortunately this took longer than it should have due to transitioning from one Software program to another for Electronic Medical Records and BillingOur office reached out to Mr*** and confirmed that he did receive his refundWe also sent him some additional complimentary contact lenses for all of his trouble and inconvenienceMy Director of Contact Lenses spoke with Mr*** and reported back that the patient was very pleasedThank you for giving us the opportunity to address our patient’s concernPlease let me know if I can provide you with any additional information Best Regards, *** *** Director of Operations Delaware Eye Care Center *** ***
*** ***

Review: 1) Although insurance coverage changes year over year that both reduces coverage and increases out of pocket expenses on the customer many health service providers are not disclosing or discussing these with the customer either when scheduling extra lab or exam type appointments the physician continues to consider routine, while insurance coverage does not. In my case of glaucoma where the physician wants to monitor both eye pressure and field of vision there was no disclosure during scheduling OR at time of visit that I would be paying the charge for the procedure or visit, and the customer only finds out about it later when bills start arriving. This is not fair pricing disclosure.

2) On 11/24/2014 physician agreed to perform eye lens replacement due to cataract and scheduled a follow-up for 12/8/2014 as the preparatory visit/consultation for surgery. At that visit the Doctor spoke as if the previous conversation never occurred and reversed the decision (the 12/8 visit was an Intermediate visit per the insurance company so I was asked to cover the cost). By that time I had also made the effort to see my PCP for his concurrence as recommended on 11/24.Desired Settlement: Either an appreciable billing reduction or elimination of the debt.

Business

Response:

Thank you for sharing the customers concerns regarding our Business. Through researching the individual's office visits, the following statements can be made:• The patient was examined on 11/24/14 for routine tension check for Glaucoma as stated. It is customary for the Doctors to follow a patient's progress with this diagnosis once every three months. At this visit, the patient's eye pressure was elevated and a complaint of glare affecting their vision was noted. Eye medications were changed and an appointment to check the efficacy of the newly prescribed medication while evaluatingfor cataracts was scheduled for two weeks later.• The patient arrived on 12/8/14 as requested.It is stated in the chart by both the work up technician and Doctor: 'patient desires to return for cataract evaluation,' and 'patient complains of glare - cannot be dilated today (has to go to work).' Should a patient wish to pursue lens replacement surgery for cataracts, it is imperative to be dilated to ensure the eye is healthy enough to proceed with that form of intraocular surgery. Therefore,a cataract evaluation was suggested as a follow up when it would be convenient for the patient to be dilated.Said appointment was scheduled at the patients will for December 22,2014.• The disputed visit on 12/8/2014 was billed to Insurance. The Insurance Company deemed this visit acceptable, but was applied to their deduct ible,which had not yet been met.Unfortunately the electronic remittance of the payment did not make it to our system in a timely fashion, causing miscommunication of the actual amount due. The allowed amount due for the services rendered,of which has been applied to the patients' deductible is: $53.85.The account has been adjusted appropriately at this time. Since this visit is tied to insurance,a reduct on below the negotiated allowed amount of coverage is not able to be offered.Please know the Physician rendering care to this patient provided the services deemed appropriate for their current findings. Due to the fact that there is differing plan coverage among all insurance providers,it is not possible to quote each persons out of pocket expense for care rendered at every visit, especially if the patient changes the course of the recommended exam at the time of visit. Lastly,the Doctors must do what is most appropriate for the patient's ocular health and cannot alter their professional judgement according to Insurance coverage.Thank you again for the opportunity to shed light on a situation that needed clarification. If I can be of additional assistance please do not hesitate to contact me at [redacted]

Review: On July 7th, I had a scheduled appointment with [redacted] of Delaware Eye Care, however, [redacted], who is a technician not an optician did the eye exam, gave me my free trail pair of contact lens, I asked her if the Doctor was going to do my exam she said yes she was doing the work up. When the doctor came in she did not do the eye exam, she wrote a prescription for my eye glasses and my contact lens. I went back on July 21, 2014, to have my eyes dilated I had a problem the prior year with my eyes staying dilated for over eight hours. This time they stayed dilated for 1 and 1/2 days. Since the day of the dilation to date, my left eye has been tearing, itching and the contact does not fit properly. I called Delaware Eye Care today and explained my issue, they said if I wanted the eye doctor, [redacted], to do the eye exam I would have to pay out of pocket for that exam. I paid my co-pay on July 7th and my insurance company has been billed and the office has been paid.Desired Settlement: I would like to have my insurance benefits released so I can see another eye doctor to have this situation corrected.

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Description: OPTOMETRISTS-O.D.

Address: 833 S. Governors Avenue, Dover, Delaware, United States, 19901

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