Insurance FAQs
Do you accept Medicare or Medicaid?
Medicare:
Yes, we work with Medicare. Medicare covers a portion of prosthetic eyes and related services. Prior to your fitting, a letter of medical necessity from your referring ophthalmologist is required. Doctors Written Orders (DWO) or Standard Written Orders (SWO) must be obtained prior to services rendered by our office.
Medicaid:
Yes, we work with Medicaid. Ocular Care Prosthetics, LLC is a provider of service with the New York State Medicaid Program.
Do you accept private insurance?
Ocular Care Prosthetics, LLC is in/network with the following insurance providers:
MVPEmblem HealthUnited HealthcareBlue Cross Blue Shield
If your plan isn’t listed, we’re happy to verify your benefits and explore coverage options.
Most insurance pay at least a portion of our fees. It is the patient’s responsibility to provide the required information to our staff for the purpose of investigating your particular insurance benefit. Our staff is available and willing to help with insurance questions, claims submission, etc. Because we are not in/network with all insurances, the patient is responsible for fees at the time of service. However, for your convenience, we do accept VISA and MasterCard credit cards.
Are prosthetic eyes covered by insurance?
Most insurance plans require a letter of medical necessity from your ophthalmologist or referring provider. We’ll help verify your eligibility and submit for authorization when needed.
What documents do I need to provide?
A letter of medical necessity from your providerA copy of your current insurance card (front and back)Any prior authorization forms, if applicable
What payment methods do you accept?
We accept cash, check, and credit card. Coinsurance, copayments, and deductibles are due at the time of service.
Do you offer out-of-network billing?
No. Not at this time.