Preparing for Your Eye Exam: A Guide for Our Patients
We believe that preparing for your appointment should be as smooth and stress-free as the care you receive from us. This page is designed to provide you with all the information you need before your visit, from necessary forms to understanding your payment and insurance options. Taking a few moments to review this information helps us make your next eye exam as efficient and productive as possible, so we can focus on what truly matters—your vision and eye health.
We are committed to making exceptional vision care accessible. Our goal is to streamline the administrative side of your visit so that when you walk through our doors, you feel prepared and confident. Let’s get you ready for your appointment.
Patient Forms
To save you time in our waiting room, we encourage all new patients to download and complete our patient forms before arriving for their appointment. Having these filled out in advance allows us to check you in quickly and gives Dr. Mayes a comprehensive understanding of your health history before your eye exam begins. This ensures we can dedicate more of your appointment time to addressing your specific needs and questions.
Please download, print, and fill out the following forms:
- Patient History Form: This form provides us with crucial information about your overall health, medications, and any specific vision concerns you may have. A complete history is essential for a thorough eye exam.
- HIPAA Notice of Privacy Practices: This document outlines how your protected health information is used and disclosed. We take your privacy seriously and are committed to protecting your personal data.
- Pupil Dilation Form: Dilation is a key part of a comprehensive eye exam, as it allows Dr. Mayes to get a clear view of your retina and optic nerve. This form explains the process and its temporary effects on your vision.
- Signature on File (SOF) Insurance Form: This form authorizes us to bill your insurance provider directly, simplifying the payment process for you.
Bringing these completed forms to your appointment helps us provide prompt and personalized care. If you have any questions while filling them out, please don’t hesitate to contact our office.
Insurance Coverage
Navigating insurance can be confusing, but we’re here to help make it simple. Bluegrass Family Vision is proud to partner with a wide range of insurance providers to ensure our patients can maximize their benefits. A routine eye exam and other vision services are often covered, but plans vary. We recommend contacting your insurance provider directly to confirm the specifics of your coverage before your appointment.
We are in-network with the following insurance plans:
- Aetna
- Aetna Better Health of Kentucky
- Anthem
- Avesis
- Baptist Health
- Caresource
- Davis Vision
- EyeMed
- Humana/VCP
- Humana Health Plan
- Medicare
- Passport
- Superior Vision
- Vision Service Plan (VSP)
- Wellcare of Kentucky
What if my insurance isn’t listed?
If you do not see your provider on this list, you may still have out-of-network benefits. Our team is happy to provide you with the detailed documentation needed to submit a claim for reimbursement directly to your insurance company. We believe everyone deserves quality care, and we will do our best to help you utilize your benefits, even if we are not a participating provider. Planning for your eye exam includes understanding these financial details, and we’re here to assist.
Flexible Payment Options
To ensure our services are accessible to everyone, we offer several convenient payment options. Your co-pays, deductibles, and any out-of-pocket expenses are due at the time of service.
We accept the following forms of payment:
- Cash
- Check
- Major Credit Cards (Discover, Mastercard, Visa, American Express)
CareCredit for Your Convenience
We understand that vision expenses can sometimes be unexpected. That’s why we have partnered with CareCredit, a healthcare credit card designed to help you finance your health and wellness needs. CareCredit offers special financing options that you may not be able to get with other cards. You can use it to cover costs for your annual eye exam, new glasses, contact lenses, and other treatments. It’s a convenient way to pay for the care you need, when you need it. You can apply for CareCredit online before your visit or ask our staff for assistance when you arrive.
Ready for Your Appointment?
Now that you have all the necessary information, you’re one step closer to a clear and healthy vision. By preparing your forms and understanding your payment options, you can look forward to a seamless and focused appointment with Dr. Mayes. Regular eye care is a vital part of your overall health, and a yearly eye exam is the best way to protect your sight.
Don’t wait to prioritize your vision. If you’re ready to experience the personalized, family-focused care at Bluegrass Family Vision, contact us today.
Call us at (859) 971-2211 to schedule your eye exam. We look forward to seeing you soon!