Insurance and Payments

Medical vs Routine eye exam?

A routine eye exam is billed if your eyes are healthy and may be billed to your vision plan if a routine diagnosis is used.  Medical insurance may be billed if you have a medical condition affecting your eye sight resulting in a medical diagnosis.  This is determined by the doctor during your visit.

Do you participate with my plan?

We are in network with most insurance plans which means we accept their allowable fee schedule based on the code we bill to your insurance.  The top 10 in network medical plans are as follows:  Medicare, Blue Cross Blue Shield, Priority Health, Michigan Medicaid, Medicare Plus Blue, Humana, Aetna, United Health Care, Cigna Healthcare, Blue Care Network Plans plus many additional plans.  If you have questions about your specific carrier, please call our insurance department directly at (231) 737-4740.

What is deductible?

A deductible is the amount your insurance requires you to pay before your plan pays toward your charges.  Usually a deductible has to be met yearly.

What is co-insurance or co-payment?

A co-insurance is a percentage your insurance requires you to pay toward the total charge.  For example: you may have an 80/20 plan; this means insurance will pay 80% and the patient will pay 20% of the allowed amount for the visit.  This is usually after the deductible is met.

A co-payment is the amount your insurance requires you to pay prior to your office visit.  This is usually a set amount depending on the type of physician you see—primary care physician (PCP) or specialist.

Can I pay over the phone?

Yes, we accept payments over the phone.  We take MasterCard, Visa, Discover, American Express and most Flex Spending Account cards.  We also accept Care Credit.

Will you take my payment from my bank account monthly?

Currently we do not withdraw payments from banking institutions, however, if you have a debit or credit card from your bank we can keep that on file for monthly payment processing.

Your Visit and the Clinic

Why do you have to dilate my eyes?

A dilated pupil allows the doctor(s) to have a better view of the back of your eye. The doctor(s) are looking at the health of your eye through your pupil. Some dilation drops also block your ability to accommodate, thus providing the doctor with more true refraction, eliminating variability due to accommodation. This is especially true with young patients.

How long will my eyes be dilated?

Your eyes may stay dilated for three to four hours, depending on your sensitivity to the dilation drops.

Are there drops that can be used to reverse the dilation?

There are not currently any drops that we use at Shoreline Vision to reverse the dilation of the pupils.

What kind of education do you need to assist the doctor?

Certification as an Ophthalmic Assistant/Technician can be attained through an accredited training program or through an approved Independent Study Course with ophthalmic work experience.  Continuing education credits are required to renew certification every three years.

How long will my appointment take?

An eye exam can take 1-3 hours, depending on what your exam entails and what testing may need to be done.  An exam can also possibly take longer if you are at a certain office location.

Why are my drops so expensive?

The price for ophthalmic drops are set by the Pharmaceutical Companies that manufacture the drops. We make every effort to find a medication that works the best for any given condition while being sensitive to the costs of medications.   We will always look for an alternative per a request for a less expensive medication if there is one available or will be covered by your insurance plan.

Do you have Wi-Fi?

We do have Wi-Fi available for patients in the Muskegon location.

Optical

How quickly can I get my glasses?

7-10 working days unless it is a single vision lens

Do I have to wear these glasses all the time?

Depends on your visual demands and what your Doctor recommends

Are there drops that can be used to reverse the dilation?

There are not currently any drops that we use at Shoreline Vision to reverse the dilation of the pupils.

What does "refraction" mean?

The bending of light rays to focus the image you are looking at clearing onto the retina. This is the part of the exam when the doctor or technician asks you, “Is it better on 1 or better on 2?”. This testing is how the doctor obtains your eye glass prescription.

What is "astigmatism"?

A form of refractive error. The inability of the eye to focus things clearly due to the shape of the eye. It could be due to the shape of the cornea, the crystalline lens or both causing blurry vision.

What does "nearsighted" mean?

You can see better up-close without your glasses on.

What does "farsighted" mean?

You can see better in the distance without your glasses on.

Medical Records

Can I have a copy of my records?

A copy of your medical records is possible when a release form is filled out.  You can contact our medical records department directly at 231-737-4770 and someone can help you.

Can I fill out my forms before coming in for my first appointment?
 Yes.  Simply provide a front office staff member with a valid email address and we can enroll you in our Patient Portal.  Through this portal we can securely send you the documents.
Where is the best place to get more information about my eye condition?

There are a number of reliable health related websites that you can visit to get more information about the eye and eye conditions.  Healthfinder.gov and Mayoclinic.org are just a few.  There are links to reliable health related websites under our resources tab in ophthalmic terms and definitions.

Surgery

How do I find the Shoreline Vision Surgical Center?

The Surgical Center is located at 1298 E. Sherman Blvd., Muskegon, MI 49444.  The E. Sherman location has 2 buildings surrounded by one large parking lot.  The Surgical Center is to the east and the Ophthalmology office is to the west.

What happens during cataract surgery?
Cataract surgery involves removing the clouded lens from your eye.  In most cases, the clouded lens is replaced with a clear artificial lens.  The artificial lens, called an intraocular lens (IOL), is positioned in the same place as your natural lens, and it remains a permanent part of your eye.
I am scheduled for cataract surger. What should I expect?

When you arrive for surgery, you will be admitted by a Registered Nurse.  You will be given eye gel or eye drops which will dilate and numb your eye.  You will be visited by an anesthetist who will explain the anesthesia medication you will receive.  You will be awake during the procedure, but the anesthesia medications will keep you relaxed and comfortable.  After the surgery is completed, a protective shield will be placed over your eye.  After a short stay in the recovery area, you will be ready to go home.

Will cataract surgery hurt?

Most patients do not experience pain or discomfort during cataract surgery.  After surgery, be careful not to rub or press on your eye as you could cause irritation or injury.

I've had cataract surgery on one eye, when can I have my other eye operated on?

When you see your surgeon in the office after your surgery, a decision will be made as to when to schedule surgery on your other eye.  Usually it is at least 1 – 2 weeks later.

Where will I go for my office appointment the day after surgery?

After surgery you will be given written instructions that will include the time and location of your post-operative appointment for the next day.  Your post-operative appointment will not be at the Surgical Center, it will be in the doctor’s office.

Is having LASIK possible if I have Diabetes?

If you have diabetes and are interested in having LASIK surgery, you may not be a candidate. Diabetes is listed by the FDA as a contraindication to LASIK surgery. Reasons include: unstable glasses needs, altered immune function, poor healing and potential for developing retinal blood vessel problems. Similar concerns are present with other eye surgeries that reduce glasses or contact lens needs. There are many factors to consider if thinking about vision correction and you have diabetes. The best thing to do if you’re considering LASIK surgery is consult with one of the LASIK surgeons at Shoreline Vision to help you better understand your individual risk.

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