Can you tell me more about what my visit to your office will be like? What should I know ahead of time?
Thank for choosing Stone Eye Center for your eye care. We appreciate your vote of confidence in choosing us and we will make every effort to meet your expectations. It is important for us to understand your needs and concerns, perform a detailed examination with relevant testing, offer clinically verified treatments and communicate effectively to you during every stage of your visit.
In most cases, even a single problem with the eye or vision requires an intensive evaluation. Formulating a diagnosis and treatment plan requires experience and precision, and must be completely thought out. The greatest treatment plan in the world will fail if the diagnosis is incorrect!
Our office makes use of technicians and physician assistants. Often this ancillary staff will interview you and do preliminary testing, and the present the findings to the doctor in lieu of the doctor repeating the interview in its entirety. Since the staff knows which information is most pertinent, this is time saving for the office. In a similar vein Dr. Stone also relies on his staff to assist in patient education and check out procedures, usually reiterating findings & recommendations.
Why has Dr. Stone been recognized as a top ophthalmologist in Chicago?
Lawrence Stone, M.D. did his medical school and ophthalmology training at University of Chicago, Chicago. Dr. Stone has travelled in elite circles, completing prestigious fellowships at Will’s University in Philadelphia and McGill University in Montreal, Canada. Academic appointments have included U. of Chicago, Illinois Eye Institute and Loyola University. For many years he was chief of ophthalmology at Weiss Hospital.
Dr. Stone has a resume that over boasts over 40 lectures and publications on a host of topics. His full resume is on this web site under doctors. . In addition, he is sought out by attorneys all over the country to consult on medical legal and insurance disability cases. His analytic and writing ability allow him to conceptualize complex topics and make them understandable to non-physicians.
From 2007 to 2010 he was awarded the Castle-Connnelly top docs award in ophthalmology. In 2015, Dr. Stone was listed in the “Top Doctors Honors Edition” America’s Best Doctors. In 2016, he was named to an international list of top doctors.
How is your vision exam different than other offices?
A refraction is a vision care service that determines if you have nearsightedness, farsightedness, astigmatism, or presbyopia. This service costs $50.00, or you can use your vision insurance plan to pay for it. Measurements are obtained by a doctor of optometry using an OPD-III auto refractor which assesses vision in day and night time conditions. An electronic phoropter and digital projection system is then used as you are shown two objects simultaneously and asked which is clearer. (Instead of the sequential “Which is better, one or two?)
Medicare Part B does not cover refractions. However, after cataract surgery, Medicare Part B will cover the cost of eyeglasses.
We have an optical dispensary with well-priced frames and top quality Hoya lens products. If you wish to make a purchase, our optician will gladly assist you with your frame and lens selection.
Which insurance plans do we participate in? Do we see out-of-network patients?
Medicare, Blue Cross Blue Shield, United Healthcare, Cigna and Aetna are among some of the insurance companies that Stone Eye Center participates with. Each company offers multiple plans and we participate in many but not all of them. We will verify your eligibility benefits prior to your first visit. We also suggest that you call the number listed on the back of your insurance card or check your insurer’s website membership area to verify your benefits.
We accept several HMO plans including the Chicago Health Care System and Ravenswood Physicians Association. We also see patients in a variety of Medicare Advantage Plans.
Out of network and self-pay patients seek us out based on our reviews and high ratings. We will quote you a price range and ask that you sign a credit card authorization on check in.
What is your billing policy? What should I bring with me on the day of the visit?
We will check with your insurance to see where you are in terms of meeting your deductible and what your co-payment responsibilities are. Our office is eliminating as much patient billing as possible, so a credit card authorization is required on check in for of our commercial PPO patients. You must present a credit card in your own name, your driver’s license and insurance card for your visit. The authorization allows us to charge for medical services rendered as described below. At our discretion, we may bill you for the service instead of utilizing the credit card authorization.
Deductible has been met
In most cases (where your deductible has been met), we will agree to bill insurance and collect the copayment on check in. We still need the credit authorization in the event the insurance does not cover all the charges. Some of the reasons for this include:
- The card appeared to be valid but your policy was not active on the day of the visit
- We thought your deductible had been met, but the web site information was incorrect
- There were services provided that were approved but only partially paid, leaving you a balance
- A service that we will alert to you ahead of time (such surgical assistant charge or medication) billed out but considered non-covered by your insurance. If that’s the case you would be responsible for the charges. You will be given notification before such a service is provided.
Deductible has not been met
If your deductible has not been met we will charge your credit card on the day of the visit. An authorization form with your credit card information will be presented to you for your signature.
We review charges at the end of the day, so the charges will be posted to your credit card late in the day or the next day. We do use the fee schedule of your insurance company if it is available, so our charges reflect insurance allowable rates. If there are services that we know in advance are likely to be non-covered we will alert you. Once the insurance claim is processed, there may be a balance or credit due.
If you prefer to prepay your visit on check in, kindly let us know on check in and we can give you an estimated price and process that amount on your credit card. If you choose this option, you do not need not to have an authorization on file.
For self-pay patients an estimated charge is given and the credit card is processed based on the estimate, with adjustments if necessary on check out.
I wish to come in right away, do you offer immediate care visits?
We will try to accommodate you if your schedule permits.
We offer specialty ophthalmology coverage by a board certified ophthalmologist. At an urgent care center or emergency room, you will most likely be seen by an internist or emergency room doctor.
The immediate care visit is designed only to manage the problem at hand. Secondary issues would not be addressed, nor is a prolonged discussion of the diagnosis and treatment possible on the initial encounter. Follow-up exams may be required. If the doctor ascertains that your issue requires care above what our office can provide or is time intensive in nature, appropriate referrals would be made.
What are the costs for an immediate care visit?
A credit card authorization in your name is required to cover the cost of the professional services.
For in network we will process an insurance claim on your behalf. However, payment is often required at the time of service, with a partial or complete refund due to you once the claim processing is completed. Insurance companies do not always process the charges properly and if that occurs it then becomes necessary to contest denied charges. For our out of network patients, we would not submit a claim to your insurer but give you the paperwork for you to submit the claim.
If you are seen by us outside of our clinic hours, we will not accept your insurance for the services (even if we are in network). Charges would be quoted on a case by case basis and paid by credit card at the time of the service.