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Insurance Information


 

Our office deals with several contracted payors, including Medicare and most HMO and PPO insurances. We also accept all major credit cards, checks, and cash. Because many insurance companies do not give out fees until after the treatment is completed, it is sometimes difficult for our office to accurately estimate our patient’s co-payment. As a courtesy, we ask that you keep us informed of any change to your insurance. It is also important that all information about you is current. 

 

*WE ACCEPT ALL MAJOR CREDIT CARDS, CHECKS, AND CASH*

Co-Payments: All co-payments are payable when you check-in at the front desk.

HMO Patients: If a patient comes to us with a problem that they expect to be covered by medical insurance, (biopsies, tumors, infections, deformities) they must have a referral from their physician. Obtaining a medical referral is the patient’s responsibility. We cannot obtain the referral for you, and the referral cannot be obtained retroactively. If you do not have a referral, we will be happy to see you on a cash basis, but your medical insurance company will not pay for your treatment.

Medicare Patients: Generally, Medicare pays us directly for your care.  You are responsible for any deductible and co-insurance. If Medicare denies your procedure, you are responsible for the charges.

Private and Group Insurance: As a courtesy, we will file your insurance claims for you. Upon receipt of an insurance payment, any balance due will be billed to you. If you have deposited an excessive co-payment, it will be refunded to you. 

 

Insurance & Insurance Collection

Please understand that insurance reimbursement can be a long and difficult process for our office. In fact, insurers will routinely stall, deny, and reduce payments. Our billing staff has undergone extensive training to maximize your insurance reimbursement, while reducing the time by which they pay. Thank you.

Non-Contracted Indemnity Insurance Plans

We will bill your insurance company as a courtesy. Our office, as a convenience and a service to you, we will absorb the costs incurred for billing. We require you to pay in full at the time of service. Your insurance company will send payment directly to you.

Plans In Which We Are Participating Providers

HMO PLANS All co-pays must be satisfied each and every visit. There can be no exceptions due to contracting and uniform compliance rules. You are responsible for getting proper referral information and authorizations in advance of your appointment. You will be responsible for payment for services denied by your HMO for lack of referral and/or pre-authorization.

PPO PLANS We have agreed to accept the discounted rate from your plan, however, all co-insurance is your responsibility. We will estimate balances to the best of our ability.

Self-Insured/Union Plans

This office has been thoroughly trained on how to get reimbursed by your employer; however, in the event there is a problem, you must provide us with the name of your human resources director and/or benefits manager. We may also require your authorization to file complaint letters to the Department of Labor and your administrator if necessary.

Medicare

As a participating provider, we will bill your Medicare carrier. You are responsible for your annual deductible and 20% co-insurance and we must collect it. We will be happy to bill your secondary payer as well. If a balance remains after we bill Medicare and your secondary insurance carrier, we will bill you for the balance, which is payable by you upon receipt of our statement.

Secondary Insurers

Having more than one insurer DOES NOT necessarily mean that your services are covered 100%. Secondary insurers will pay as a function of what your primary carrier pays. We may bill your secondary carrier as a courtesy. You are responsible for any balances after your insurance(s) has cleared.

Co-payments, co-insurance and patient deductibles

All co-payments, deductibles, share of costs and coinsurances are due at the time of service.

 

Services Not Covered By Your Insurance

Services not covered by your insurance are payable in full prior to or at the time-of-service. We will provide prior notification if you are going to receive a service that we know is not or may not be covered by your insurance.  Some of these services may include refractions, refractive surgery, and premium intraocular lenses with cataract surgery.

Missed Appointments

There is a $35 missed appointment fee if you cancel or reschedule a clinic visit appointment with less than 24 hours advance notice or if you fail to arrive for your appointment.

Minor Patients

The adult accompanying a minor and the parents (or guardians) of the minor are responsible for full payment.  For unaccompanied minors, non-emergency treatment will be denied unless charges have been pre-authorized to an approved credit plan, Visa/MasterCard, or payment by cash or check at the time of service has been verified.

 

Office and Financial Policies

 

Omni Eye Care

Ophthalmologist located in Covina, CA & El Monte, CA

Omni Eye Care provides comprehensive eye care in the San Gabriel Valley under the leadership of Dr. Shelly Bagai Lapsi, MD. Patients seeking specialized treatment for cataracts, glaucoma, macular degeneration, diabetic retinopathy, and dry eye will appreciate the exceptional care provided by Dr. Lapsi and her staff. Omni Eye Care offers full-service ophthalmology care including complete eye exams, refractions, laser procedures, and state-of-the-art cataract surgery.

We recognize the need for personalized eye care for the entire family, encompassing compassion and focused attention to your needs. In today’s shifting healthcare environment, the continuity of care between a patient and doctor is paramount to achieving positive medical outcomes. At all times, your care will be directed under the leadership of Dr. Lapsi.

Our beautiful facilities in Covina and El Monte, California, were carefully designed with your comfort in mind the moment you enter, with genuine care and exceptional support from our team. We only utilize the latest ophthalmic equipment to diagnose and treat your specific eye conditions. Our facilities also feature electronic medical records with a patient portal to optimize medical communication between our patients and staff.

Omni Eye Care

Services and Conditions

Credentials

Cataract Surgery

Dr. Shelly Bagai Lapsi, MD is one of the leading eye surgeons providing cataract surgery. At Omni Eye Care, Dr. Lapsi provides consultations and evaluations to diagnose your cataract condition and plan the best course for treatment. Early detection and diagnosis of cataracts offers you the best opportunity for cataract treatment so to avoid vision loss. If you notice vision changes such as blurred vision, halos around lights, glare while driving at night, or double vision, let Dr. Lapsi assist you today.

FAQLearn MoreTreatments

 

Dr. Lapsi specializes in cataract surgery, which is the most effective solution for this eye condition. She provides phacoemulsification and extracapsular cataract extraction surgical methods. Phacoemulsification or “phaco” is the most common surgery used to remove cataracts. This method is ideal for treating cataracts in the early stage. By using phaco, Dr. Lapsi can break apart the cataracts and help you see clearly once again. For more advanced stages of cataracts, the extracapsular cataract extraction is typically used. If you are ready to break free of the foggy vision you are experiencing due to cataracts contact your Covina, CA ophthalmologist Dr. Lapsi to schedule a consultation.

Cataract Treatments

  • Toric Intraocular Lens

    Cataract patients now have the option of reducing or eliminating pre-existing astigmatism with the Toric Intraocular Lens (IOL). This new lens design provides quality distance vision and astigmatism correction all in one step.

     

    Multifocal Lenses

    Imagine the ability to see your world as well as you did when you were young, without glasses or contact lenses. Being able to see all you want to see – regardless of how far away or close up you are viewing? Youthful vision is possible with the new Acrysof ReSTOR® and other Multifocal Intraocular lenses.

     

Insurance

Our office deals with several contracted payors, including Medicare and most HMO and PPO insurances. We also accept all major credit cards, checks, and cash. As a courtesy, we ask that you keep us informed of any change to your insurance. It is also important that all information about you is current. Please click below for more information:

Insurance Information

  Regence Blue Cross Blue Shield
AARP
Aetna
Anthem Blue Cross
Anthem Blue Cross Blue Shield
Blue Cross
Blue Cross Blue Shield
Blue Shield of California
Capital Blue Cross
CareFirst Blue Cross Blue Shield
Caterpillar
CBA Blue
Cigna
Empire Blue Cross Blue Shield
EyeMed
GeoBlue
Patient Portal

We are excited to offer you access to your personal health information through our EMA Patient Portal. This portal will allow you to update your medical and surgical history, pharmacy information, and medication list. You will also have access to summaries of your office visits and information about your diagnoses and treatments. Please click on the link below to access the patient portal.

If you need your username and password, please email our offices at info@omnieyecare.com

Patient Portal Login

Testimonials

Words from our patients

  • Yelp

    "I am so grateful for the help I received from Dr. Shelly Lapsi. She is wonderful at explaining everything clearly. She is also compassionate and knowledgeable."

    Laurie G.
  • Yelp

    "Dr. Lapsi is amazing as a doctor and a person. She really empathizes with her patients and their families and does her best to explain everything in a friendly way."

    Brian J.
  • Yelp

    "My grandfather considers Dr. Lapsi the angel who saved his vision. It was so amazing to see his expressions of amazement as he began to look at the world anew."

    Brian J.
  • facebook

    "Excellent Practice. I highly recommend it."

    Rati B.
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