Notice of Privacy Practice
Methods of Payments
No problem. Harrel Eyecare offers a discount for all non-insurance patients for their Vision or
Medical exam. We also, accept all major credit cards, Care Credit, cash or checks
Some vision insurance plans do not provide an insurance card. Vision plans usually include
benefits towards glasses or contacts. (Examples: VSP, EyeMed, Avesis, Superior Vision, etc.).
Medical insurances generally do not cover these benefits. Medicaid (Soonercare) only allows
glasses for patients less than 20 years of age and they do not cover contact lenses.
Refractions (checking vision) & the contact lens portion of the exam are not generally coveredWe are glad to answer any questions regarding your insurance benefits. Thanks!
by medical plans. We can file your insurance on your behalf, but this does not guarantee
payment and any balance will be paid by you. If your deductible has not been met for the year,
you will be responsible for services rendered. We keep medical insurance information on file
because we perform medical eye care. We use medical insurance for infections, foreign body
removals, eye disease, treatments, etc.
Please Sign Here – Privacy Practices
I acknowledge that I have read or have had the opportunity to read the Notice of Privacy
Practices (available at the front desk).
“SoonerCare will provide for payment of lenses and frames for
children only. This Coverage includes one set of lenses and frames
per service year.”
-Garth L Splinter, M.D., M.B.A
State Medicaid Director
We offer a one year warranty on all of our frames; one replacement frame may
be obtained within one year of the exam date. Pieces of broken frame are
required for any replacement; loss and theft are not covered by this warranty.
Lenses are covered under a one year Scratch Warranty. Damaged lenses are
required for replacement, and may only be obtained once within the year of exam
date. This warranty is courtesy of Harrel Eye Care Center and is not affiliated in
any way to your SoonerCare Coverage.
If frame or lenses have been replaced under warranty or a replacement is
needed due to loss or theft, the prices are as follows:
$74.00 frame only
$68.00 lenses only
$99.00 frame and lens package price