Insurance & Billing FAQ

At Spokane Eye Clinic (SEC), we recognize the importance of our patients knowing and understanding the issues that affect the total cost and out-of-pocket cost of care they receive. We have developed the following written policies to ensure that all of our patients understand the services our Business Office provides and the rights and responsibilities our patients have with regard to payment for services.

Insurance Benefits, Covered Services, and Eligibility

What is covered and what is my co-pay?

SEC is contracted as a participating provider or preferred provider with a number of health insurance plans. Many of these plans offer more than one insurance product, often with specific limitations. It is the responsibility of the patient to know his or her insurance coverage. As a patient you are specifically responsible for:

  • Verifying that Spokane Eye Clinic is a contracted provider for your specific insurance plan
  • Obtaining a referral if necessary prior to seeing the doctor
  • Determining that you are eligible at the time of service
  • Knowing what services (benefits) are covered and what services are not covered by your insurance plan
  • Knowing if authorization is required in advance of surgery
  • Payment of all co-payments, co-insurance, and deductibles

If you have not already done so, please familiarize yourself with your insurance benefits and cost sharing agreement. If after contacting your insurance plan you still have questions, our Business Office will gladly work with you and a representative of your plan to resolve your questions. We will need you to provide us with the information on your insurance card.

Do I need a wellness vision exam or medical exam?

To help you decide, we've put together more information on this page.

Do I need a referral?

Contact your insurance company directly to verify if a referral is needed.

Are iLASIK/LASIK and other refractive surgeries covered by my insurance?

To find out those answers, you'll need to contact your insurance company directly. For additional information about refractive surgery.

Insurance Billing and Statement of Account

How will I know how much I owe?

If SEC is contracted with your insurance plan, you will receive a statement of account by mail disclosing any balance due after we have billed your insurance plan and it has processed your claim. Our charges will be listed on the statement along with any payments made by your insurance plan and contractual discounts required by our contract. This statement should also correspond to the Explanation of Benefits (EOB) you receive in the mail from your insurance plan. You will receive an individual statement of account on a monthly basis. Payment is due upon receipt. Charges unpaid after 60 days may be assessed a rebilling fee.

Payment and Credit Arrangements

How can I make a payment?

Spokane Eye Clinic is committed to providing quality care and effective communication about or billing and collections practices.  Please contact our business services department for questions regarding payment arrangements.

For more information about Financing Options and Care Credit, click here or contact the Business Office (509) 623-9765 between 8 a.m. and 4 p.m.

Billing Inquiries

How can I make payment arrangements?

At Spokane Eye Clinic, the Business Office handles all charges, insurance billing, and payment arrangements. Our doctors do not make judgments regarding patient discounts or amounts owed. If you have questions regarding your statement of account or our policies, please call and ask for a Financial Counselor or write us at:

Spokane Eye Clinic, PS
Business Office/Financial Counselor
427 S. Bernard
Spokane, WA 99204
(509) 623-9765

Hours: Monday through Friday, 8:00 a.m. to 4:00 p.m.