Patient Forms
Please complete before arriving for your appointment.
Payment Options
We appreciate payment at the time of service. For your convenience, we accept cash, personal checks, Debit, MasterCard, Visa, Discover, American Express, Flex Spending Accounts, and Medical/Health Saving Accounts. After each visit you will receive an itemized bill for your services rendered that day.
Patient Financing
Eye & Contact Lens Associates of North Texas offers 6, 12, 18, and 24 months interest free (if paid within contract period) financing for all of our services. Our goal is to help you get the best vision possible through affordable means. We realize that not all insurance programs cover every procedure and products, so that is why we offer convenient and flexible financing options.
CareCredit
We are pleased to offer our patients the CareCredit card, North America’s leading patient payment program. CareCredit is the credit card exclusive for healthcare services. You will get low monthly payment plans for healthcare procedures, routine checkups, and products (i.e. glasses, sunglasses, and contact lenses) not commonly covered by insurance.
For vision care, CareCredit offers
- Low minimum monthly payments
- No interest financing, if paid within the specified time period
- No up-front costs, pre-payment penalties, or annual fees
Learn more by visiting www.CareCredit.com.
Flex Spending Accounts (FSA ) / Health Spending Accounts (HSA)
One of the best ways to pay for your vision correction procedures is by setting money aside in your Flex Spending Account beforehand, so that the money you spend is tax free.
Many employers offer FSA options to employees. These are also referred to as “cafeteria plans” and are elective. These plans are designed to save money in an account, pre-tax, to pay for additional medical expenses such as eye exams, glasses, contact lenses, and laser vision surgery, that are not covered by insurance. FSAs can typically be used in conjunction with any vision insurance plan to offset any out-of-pocket costs on your behalf.
By participating in your employers FSA or HSA, you can set aside tax-free money for your vision correction procedures.
Accepted Insurances
Medical Insurance:
- BlueCross BlueShield
- Medicare (Part B)
- United Healthcare
- United Medical Resources (UMR)
Vision Insurance:
- VSP