We are a Medicare provider and will file a claim for eligible patients. Medicare patients are required to pay their annual deductible and 20 percent co-payment at the time of service, unless secondary insurance is billed automatically from Medicare. Refractions are not covered by Medicare, and it is the patient’s responsibility to pay at the time of their visit. If you have private insurance, we bill it as a courtesy only. Co-payments and/or co-insurance are due at the time of service. Please call our office and we will be happy discuss insurance and payment options with you.