Insurance & Financial Policy - Seidenberg Protzko Eye Associates

Insurance & Financial Policy

Insurance

We are contracted with most major insurance carriers. Your health insurance policy is an agreement between you and your insurance company.  Payment of benefits is subject to a member’s eligibility on the date service was rendered and to any other contractual provisions of your employer’s plan.  Please check with our in-house billing department to verify that the plan you have is one we accept.

Remember, your insurance carrier makes the decisions as to what is covered and what will not be covered. 

Please be prepared to provide our front desk with the following information so that we may submit your claims accurately.

Remember to bring your:

  • Current insurance cards
  • Drivers License
  • Primary Care referral (if required by your insurance)

Referrals

Seidenberg Protzko Eye Associates is considered a specialty practice with some insurance carriers. Therefore, if your insurance requires a primary care referral to see a specialist, you are required to contact your primary care provider prior to your appointment and present your referral at the time of your appointment.

Fees and Payments

Our philosophy at Seidenberg Protzko Eye Associates is to provide the highest quality eye care at a reasonable price.  To assist us in meeting this goal, please be prepared to pay all office co-pays and non-covered services at the time of your appointment.  Self-pay patients are required to pay in full at the time of service.  If financial assistance is required, please ask to speak with our in-house billing department.

Fees for the following are due prior to the completion of the forms:

MVA forms - $30.00

Disability/FMLA forms - $30.00

Workers Compensation

Please advise our front desk if your condition is related to an injury on the job. Our office will notify your employer for verification and assist you in paperwork.

Third Party Liability

All cases that are being settled through court, P.I.P. or through a third party settlement are considered private pay. If you have been involved in domestic injury cases, i.e. auto accidents, private accidental injury from a third party, you will be required to pay Seidenberg Protzko Eye Associates in full then submit your paid receipt to your attorney or P.I.P. insurances for your reimbursement.

Methods of Payment

Seidenberg Protzko accepts the following forms of payment at the time of your visit.

  • Cash
  • Personal check
  • Visa
  • MasterCard
  • American Express
  • Care Credit

If you require assistance on your account, you are welcome to speak to one of our billing representatives for assistance at 410-939-3335.

Current Insurance Participation

** Insurance list is subject to change.

  • Advantica Eye Care
  • Aetna
  • Amerigroup
  • BeechStreet PPO
  • Blue Choice
  • Cigna HealthSpring
  • Carefirst BlueShield
  • Cigna
  • Coventry
  • Employers Health Plan (EHP)
  • EyeMed Vision
  • Federal BlueShield
  • Great West Health
  • MedStar Family Choice
  • Johns Hopkins Healthcare
  • Mailhandlers
  • Mamsi Life and Health
  • Maryland Physicians Care
  • Maryland Medical Assistance
  • Medicare Part B & Railroad Medicare
  • MultiPlan PPO
  • NCPPO
  • OneNet PPO
  • Optimum Choice
  • Priority Partners
  • Riverside Health Plan
  • Todays Options
  • Tricare
  • United Healthcare
  • University of MD Health Advantage
  • US Family Health Plan
  • VSP