Ophthalmology | Meridian | Butler | Livingston
Ophthalmology | Meridian | Butler | Livingston
LASIK Surgery Center | Meridian | Butler | Livingston
Ophthalmologists Meridian | Dr Don E Marascalco | Dr J Lawrence Mason | Butler | Livingston
Cataract Surgery | Blepharoplasty | Meridian | Butler | Livingston
LASIK | Meridian | Butler | Livingston
Cataracts | Meridian | Butler | Livingston
Macular Degeneration | Retinal Detachment | Meridian | Butler | Livingston
Glaucoma | Macular Degeneration | Diabetic Retinopathy | Meridian | Butler | Livingston
Cataract Removal | Glaucoma Treatment | Meridian | Butler | Livingston
LASIK Surgery | Cataract Surgery | Meridian | Butler | Livingston
IntraLase | Meridian | Butler | Livingston
Patient Forms
Eye Clinic of Meridian: 1301 20th Ave | Meridian, MS 39301 | Tel: 601-485-2368
Eye Care | Meridian | Butler | Livingston
Eyeglasses | Contact Lenses | Meridian | Butler | Livingston
Eye Care | Meridian | Butler | Livingston
Patient Forms
     
 

Items Needed For Your Eye Exam Appointment

Please bring a list of your current medications, your health insurance card and the above list patient questionnaire and Registration Forms.

Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current insurance information. Below are links to our patient registration forms. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

Need Adobe Acrobat Reader?

If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon 'Get Acrobat® Reader'. This will take you to Adobe's website and enable you to download the Acrobat program to your computer.

 

NETWORKS (INSURANCE PLAN) PARTICIPANTS

We have listed the NETWORKS in which the Eye Clinic of Meridian participates. Please check your insurance cards to determine whether your insurance company is a member of any of the NETWORKS. Many health insurance plans require a referral from a gatekeeper physician prior to consultation with an ophthalmic specialist. Some plans require preauthorization prior to any type of surgical management of an eye problem. It is the responsibility of the patient to obtain the necessary referral prior to your scheduled appointment. Your insurance may deny payment for your eye care services if you fail to obtain a required referral or preauthorization. Our fees will become your financial responsibility if your claims are denied because you failed to obtain a required referral or preauthorization.

If you are uncertain whether your health insurance coverage requires a referral or preauthorization for medical or surgical eye care, please call your health insurance’s customer service department. Our insurance clerk with gladly assist you with questions that you might have and can be reached Monday through Friday from 9:00 a.m. to 5:00 p.m. at 601-485-2368.

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Networks

  • AFFORDABLE
  • AETNA US HEALTHCARE
  • ANTHEM HEALTH GROUP SERVICES
  • BLUE CROSS PPO
  • CHOICECARE
  • DIRECT CARE OF AMERICA
  • EVOLUTIONS
  • FIRST HEALTH
  • FIRST CHOICE
  • GALAXY HEALTH NETWORK
  • GUARDIAN RESOURCES
  • HEALTH CHOICE
  • HIE (HEALTH INSURANCE EXCHANGE)
  • HEALTHLINK
  • HEALTHSTAR/ANTHEM
  • HUMANA
  • MANAGED CARE SOLUTIONS (MCS)
    Items Needed For Your Eye Exam Appointment
  • MANAGED CARE USA
  • MEDICAID
  • MEDICARE
  • MHCI (MANAGED HEALTH CARE INC)
  • MCS (MANAGED CARE STRATEGIES)
  • MHC (MISSISSIPPI HEALTH CONNECTION)
  • MHP (MISSISSIPPI HEALTH PARTNERS)
  • MPCN (MISSISSIPPI PHYSICIANS CARE NETWORK)
  • MS HEALTHLINK
  • ONE HEALTH PLAN
  • PHS (PRIMARY HEALTH SERVICES)
  • PHCS (PRIVATE HEALTH CARE SYSTEMS)
  • SOUTHEAST MEDICAL ALLIANCE
  • TRICARE
  • UNITED HEALTH CARE
  • USA HEALTH NETWORK
  • USA MANAGED CARE

Please call our insurance clerk for additional information if you do not see your network listed. We are constantly adding new networks and insurance companies to our list and will gladly answer your questions concerning whether we are providers to a particular plan.

Almost all insurance plans require a yearly deductible and co-payment. You will be required to pay for any deductible or co-payment at the time service is rendered. We do not bill for co-payments. We will bill your health insurance company directly for services that are provided by the Eye Clinic of Meridian. We will bill you for any applicable patient balances after your health insurance has made payment.

 

Financing

Laser Vision Correction is an elective surgical procedure which is rarely covered by most health care insurance plans. Please check with your insurance carrier to determine if LASIK Laser Vision Correction is covered by you insurance company.

 

Other Payment Options:

Capital One Financing will consider financing your LASIK surgical procedure. They can be reached at 1-877-559-5050. They provide many attractive options which include low interest rates, no prepayment penalties, extremely fast and easy application process, and low monthly payments for up to 60 months.

Flexible Spending Accounts are provided by some employers. These accounts are acquired from pre-tax contributions that are made by the employee and can be used for eligible healthcare related expenses. LASIK Laser Vision Correction is covered by Flexible Spending Plans. Most plans require the employee to determine the monthly contribution for the upcoming year prior to the beginning of the year. Please consult with you employer to determine if they have a Flexible Spending Plan in place for their employees.

We also accept all major credit cards, checks and cash as payment for LASIK Laser Vision Correction.

 

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IntraLase®
LASIK Surgery
Cataract
Diabetic Laser Eye Surgery
Glaucoma
Blepharoplasty
Entropion
Macular Degeneration

     
   
     
   
     
   
     
   
     
 

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