Billing & Insurance
At Colorado Retina Associates, we are committed to providing patients’ cost-effective care. We accept Medicare, Medicaid, and most managed care plans, and will bill your insurance directly, post-appointment. We do not accept vision insurance, as we are a medical office.
Many insurance companies and HMOs require you obtain written authorization (referral) from your primary care physician (PCP) before an office visit with a retinal specialist, diagnostic procedure, or treatment. Please verify your benefits and eligibility with your insurance provider before your initial visit.
If your insurance provider requires a co-payment for your office visit, expect to pay that amount in full on the day of your visit. You are responsible for payment of all services that are not covered by your insurance plan. Any balance not covered is due at the time of service.
Although the treatment of retinal diseases involves significant technology and complex services, we attempt to minimize the cost in several ways:
- Performing surgery on an outpatient basis to reduce the length of a hospital stay.
- Elimination of “facility fees” by performing diagnostic testing and minor procedures in our offices.
- Financial and grant assistance.
- Sliding scale payment plans
- FDA-approved clinical research trials as an optional treatment path for patients who qualify.
Patients with commercial insurance may be eligible to pay as little as $0 for eye injections
Co-pay assistance programs are available for all high-cost injection drugs. These programs may help cover product-specific copays, coinsurance, and/or deductibles for eligible patients. Eligibility requirements, type of assistance, and application process varies per patient.
Patients with Medicare - Good Days may cover what insurance won't
If you are a Colorado Retina patient covered by Medicare, Good Days, a patient assistance program may be able to help! Good Days covers what insurance won't- including the copays for injection treatments that can extend your sight. Good Days ability to pay for the otherwise unaffordable co-insurance means these extraordinary medicines- some of the most sophisticated treatments in healthcare, the result of years of research- can fulfill the promise for which they were developed.
You can apply for co-pay assistance at your next appointment, or online at home. If applying at home, contact one of our Colorado Retina patient intake coordinators to assist you through the application process.