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.
Should I expect to have to make a payment at the time of my visit? Will you accept my insurance as payment?
Before or at the time of your visit, we will request your insurance information. If you’ve met your deductible for the year, we will request the copayment and the insurance claim will be generated. The insurance would typically approve the charges and then pay the claim based upon their approved amount.
An insurance company many times will approve a claim but not pay for it because of an unmet deductible. Deductibles are much higher now than in years’ past. .
If you have not met your yearly deductible, this means that a claim submitted on your behalf to your insurer will NOT be paid, but only go towards your deductible.
In cases where you have an outstanding deductible, we offer two options. The first option is payment at the time of the visit, by cash, credit card or check. We will submit the charges for the visit to your insurer and the insurer then determines its approved charges. Once we receive the insurance remittance, if there was an under or overpayment made when you paid for your visit, you will be sent a bill or be given a refund as appropriate.
The second option allows you to provide us with a signed credit card authorization. In this scenario, you pay your copayment and the claim is submitted to your insurance. Once we receive the explanation of benefits from your insurer, we will bill you for the amount owed and give you 14 days to pay. If we haven’t heard from you by that time, the approved charges are then charged automatically to your credit card. This option allows you to defer payment for several weeks and avoids over or underpayments.
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.