Insurance & Billing Information
What forms of payment do you accept?
We accept cash, creditcards (Mastercard, Visa, and Discover are accepted) along with personal checks and debit cards.
What insurances do you accept?
We accept and bill for most all major insurances…Including:
- Harvard Pilgrim
- Health Plan
- Maine Care
- Maine Community Health Options
- Martin’s Point
- Most Medicare Advantage plans–United Health Care, USP–and most Medicare secondary insurers
- Patient Advocates
- Secure Horizons
- Today’s Options
- United Health Care
Do I need to bring my insurance card to every visit?
Please be certain to bring your current insurance cards to every visit. Our staff will take a copy of your cards and will bill your insurance directly for many services we provide. You are responsible for knowing what your insurance covers for you.
What will Medicare cover?
Medicare will pay for 80% of non-routine services for patients who have a billable visit and have met your yearly deductible. If you have a secondary insurance, you may only be responsible for the refraction portion of your comprehensive exam. Federal law requires that we accept payment limits for services and also requires us to bill patients for their co-pays and deductibles as they instruct us to do.
I have managed care insurance. How should I prepare for my visit?
Those with managed care insurance plans may need a referral from their PCP (primary care physician) in order for their insurance to pay for the visit. The patient is responsible for obtaining the referral prior to their appointment. Managed care plans often require a co-pay for services which must be paid at the time of service. Insurance claim statements dictate sometimes that a patient pay a balance on their services. We will bill the patient promptly after notice from the insurance company. We appreciate prompt payment of the amount due.
Do Maine Care patients get annual exams covered?
Maine Care patients under the age of 21 may be seen for annual exams, however, adults 21 and over are limited to exams every three years. The exception for adults may be for those with certain eye diseases – such as glaucoma. Those adults who must be seen more frequently are responsible for obtaining referrals from PCPs.
Your Office Visit
Are you accepting new patients?
Yes we are accepting new patients.
How do I make an appointment?
Please call our office at 1-207-474-9613 or 1-207-474-6590. Our hours are Monday through Friday 7:30am – 4:00pm. Please leave a message on the answering machine if you are calling after hours.
How do I find your office?
Our office is located at 10 High Street in Skowhegan, Maine. We are the white building next to the Skowhegan Indian. For more specific directions please see our Contact Us page.
What should I bring to my office visit?
- A list of your current medications
- Knowledge of family health issues and that of yourself or child
- Your current eyewear
- Questions you have concerning symptoms you have experienced
- Your insurance cards and referral forms from PCP. if needed
- Forms you need filled out for work, insurance, driver’s license, or for another physician
What are your office hours?
Our office is open Monday through Friday 7:30am-4:00pm.