Office Policies

Notice about Privacy Practices and HIPAA Compliance

Premier Family Eyecare is committed to protecting your health information and ensuring your privacy. This notice explains our legal duties and privacy practices concerning your health information. This also contains a patient’s rights section describing our rights under the law. Please review it carefully.

Uses and Disclosures of Your Health Information

Treatment: We may use and disclose your health information to provide, coordinate, or manage your healthcare and any related services. This includes sharing information with other healthcare providers involved in your care.

Payment: We may use and disclose your health information to bill and collect payment for the services provided to you. This includes sharing information with your health insurer to obtain payment or determine coverage.

Healthcare Operations: We may use and disclose your health information for our healthcare operations, such as evaluating the quality of care and conducting business planning activities.

Other Permitted Uses and Disclosures

Legal Requirements: We may disclose your health information as required by law, such as for public health reporting or to comply with legal proceedings.

Law Enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.

Public Health and Safety: We may disclose your health information to prevent or control disease, injury, or disability, and for other public health activities.

Your Rights Regarding Your Health Information

Access: You have the right to inspect and obtain a copy of your health information, with some exceptions.

Amendment: You have the right to request an amendment to your health information if you believe it is incorrect or incomplete.

Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.

Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose for treatment, payment, or healthcare operations. We are not required to agree to your request, but if we do, we will comply unless the information is needed for emergency treatment.

Accounting of Disclosures: You have the right to request a list of certain disclosures we have made of your health information.

Changes to This Notice

We reserve the right to change this notice, and the revised notice will apply to all health information we maintain.

Premier Family Eyecare Policies

Premier Family Eyecare is committed to keeping our patients up to date with all our practice policies. Please review it carefully.

We offer our latest advancement in eye healthcare to our patients 21 and above. The iWellness exam is a state-of-the-art technology that allows us to see beneath the surface of your retina and detect early signs of eye disease that a doctor otherwise would
not be able to see in a standard eye exam. Our practice believes in this testing due to being able to detect early signs of eye disease that can develop without warning and progress without symptoms.

​​​​​​​There is a $25.00 charge, not covered by insurance, for this testing.

Vision plans only cover routine vision exams, along with eyeglasses and contact lenses. Vision plans do not cover medical diagnosis as well as eye management for the treatment of eye health problems (i.e.: cataracts, glaucoma, dry eye, diabetes, to name a few). If you have any questions regarding why your medical insurance is being billed, please ask.

WE ARE A SPECIALTY OFFICE. We are contracted to bill with medical insurance as well as vision insurance. If you have complaints that are associated with a MEDICAL diagnosis, by law we must bill your medical insurance. Patients are responsible for knowing if they have a copay/deductible or coinsurance.

Refractions are never covered by medical insurance. There is a $50.00 charge for this necessary testing; however, if you have vision coverage, we will bill it as secondary insurance to possibly pick up this fee. If you do NOT want us to bill your vision insurance as secondary insurance, please let a staff member know and we will indicate that preference appropriately in your chart.

Premier Family Eyecare will release any information including the diagnosis and the records of any treatment or exam rendered to yourself or your dependent (s) to your primary insurance company or health care provider. Your insurance company will pay directly to Premier Family Eyecare. If fees are not paid by your insurance, you are responsible for all uncovered services. Returned checks have a service charge of $35.00, in addition to the outstanding balance.

In accordance with federal regulations regarding glasses/contacts prescription release and patient compliance, Premier Family Eyecare will release a copy of your prescription to you following our examination and complete contact lens evaluation follow-up.

Premier Family Eyecare offers a one-year $25 warranty on your purchase of new frames and lenses, valid from the date of purchase. We will replace your frames one time for manufacturer defects only. Eyeglasses lenses come with a one-time replacement guarantee for scratches. If you are dissatisfied with your glasses for any reason, we are happy to help you restyle them within 30 days of purchase, with a $100 restocking fee.

Our office requires 24-hour notice to change or cancel an appointment. Patients who do not attend a scheduled appointment or do not provide 24-hour notice to change a scheduled appointment will be responsible for a $50 service charge. This charge cannot be billed to insurance and must be paid on or before the next scheduled appointment.