Insurance & Payments

Insurance

Ophthalmology Associates S.C. will file your insurance claim. However, please understand that you are responsible for the amount that your insurance does not cover, such as out-of-network services, deductibles, etc. It is in your best interest to know and understand your insurance plan benefits because not all services are covered under all health plans. If you have insurance coverage but cannot show proof at the time of your appointment, please understand that payment for your care will be due at the time of service. Once our office receives your insurance card, the claim will be filed appropriately. Below is a list of accepted insurance plans.

Medicare Programs:	Vision Plans:
Medicare	Blue View Vision (only through eyemed)
AARP Medicare Complete (HMO & Essential HMO)	Eyemed
Aetna Medicare Advantage	Lincoln Vision COnnect (Spectera)
Anthem Mediblue Select HMO	NVA
Anthem Medicare Preferred (Core Ppo, Select Ppo, PPFS)	Spectera/Optum/United Healthcare Vision
Care Improvement Plus of WI	United Healthcare Vision (Spectera)
Humana Medicare (Choice, Employer, PPO, Gold, PFFS, PPO)
United Healthcare Medicare Community Plan
United Healthcare Medicare Solutions (PPO/HMO/POS)
United Healthcare Navigate (HMO Navigate, Balanced, Plus)
ICare Medicare
Network Health Medicare


Contracted Insurance Plans:	T19 Plans:
AARP	T19/Forward straight
Aetna PPO Medical only	T19/Forward Badger Care Plus
Anthem Blue Cross PPO	Anthem Medicaid - medical only
Cigna	Badger Care Plus Basic Plan
Common Ground ENVISION (including Aurora/Bellin)	Badger Care Plus Core Plan
GWH-Cigna	Badger Care Plus Standard Plan
Health EOS (formerly HCN)	Badger Care Plus Benchmark Plan
Health Payment Systems	Badger Care Plus Benchmark Plan and Dental
Highmark Blue Cross (Anthem)	Children's Community
Humana (Choice, PPO, EPO, POS)	Family Care/Community Care
Midwest Security (UMR)	Medicaid
Multiplan	Medicaid for Foster Care
UMR	Medicaid for SSI
United Healthcare Navigate (Hmo Navigate, Balanced, Plus)	Medicaid Purchase Plan/Purchase plan Waiver
United Healthcare	QMB - Does not pay for refractions/glasses/routine
United Health Integrated Services	Trilogy Network, medical only, requires referral
WEA	United Health Community Plan (AMERICHOICE)
Wheaton Franciscan Provider Network (WFPN)	Wisconsin Well Woman Medicaid
Wheaton Franciscan Associate Network (WFAN)	ICare
WPS

Marketplace Plans:
Common Ground ENVISION
Molina
Network Health Plan
Together with Children's Community Health Plan

Payments:

Ophthamology Associates S.C accepts personal checks, cash or payments by MasterCard, Visa, and Discover. Credit card payments may be taken in person or over the phone.