insurance provider list and more information

HEALTH INSURANCE INFORMATION

Thank you for choosing Somerset Eye Institute (SEI) for your procedure.
Plans we participate in:

  • AARP Medicare Complete
  • Aetna Amerigroup – Medicare and Medicaid
  • Amerihealth
  • Ameri-Vantage
  • CHN
  • Clover
  • Cigna
  • Emblem HIP Prime
  • Empire BCBS (PPO Only)
  • Horizon BCBSNJ
  • Horizon NJ Health
  • Magnacare
  • Out of state BCBS Plans
  • OOS BCBS – ID’s w/ETR prefix
  • Local 1199
  • Medicare
  • Meritan
  • J Total Care
  • Oxford
  • Pomco
  • Qualcare
  • RR Medicare
  • United Community Plan
  • United Healthcare (all plans)

It is important you contact your insurance company prior to receiving services at SEI. Each plan is different and provide varying levels of coverage which could make a difference in your out-of-pocket expenses. It is always best to contact your insurance company to obtain more information if you have any questions.

As all insurance plans are different, it is your surgeon’s responsibility to verify if your plan requires a pre-authorization for the procedure(s) you are having done and obtain one when required. Furthermore, SEI and your surgeon are two separate providers and may or may not participate in the same insurances. It is your responsibility to verify insurance participation.

Prior to your surgery, we will contact your insurance carrier for verification of your insurance eligibility and benefits. We will advise you of any and all financial responsibilities estimates, in advance of your surgery to ensure your complete understanding. All required copays, outstanding deductibles and coinsurances will be collected on the day of surgery. If your insurance plan requires a referral, it is your obligation to obtain this for your services. For your convenience, we accept cash, credit cards, checks, and money orders.

Please Note:

  • All amounts quoted are an estimate ONLY. Final determination of your responsibility will be made by your insurance company, once the claim is processed;
  • Somerset Eye Institute is not affiliated with your surgeon’s office;
  • Physician services provided in the facility are not included in the facility’s charges;
  • You can be held responsible for up to 3 separate bills:
    • 1. Somerset Eye Institute (Facility)
    • 2. Physicians’ Professional Management Corporation (Anesthesiologist)
    • 3. Your Surgeon (Provider)
  • Physicians who provide services in the facility may or may not participate with the same health benefits plans as the facility;
  • The covered person should check with the physician arranging for the facility services to determine the health benefits plans in which the physician participates;
  • The covered person should contact their carrier for further consultation on those costs

Other Care Providers:

We work with other providers which may be a part of your care while at SEI. In addition to a bill from the facility and the physician, you may receive a bill from the anesthesiology group listed below.

Anesthesia Services:

Anesthesia Group: PPMC
40 East Avenue #7
Lewiston, ME 04240
(800) 524-2554
info@ppmcbilling.com

Should you have any questions regarding billing, please feel free to contact our billing department before your surgery date at (732) 846-2501 or 800-955-4428, Monday through Friday between the hours of 8 am and 3 pm. We will be happy to assist you.

Terms & Conditions

Privacy Policy

refund policy

If you have made a payment via the online web portal, you may request a refund to your credit card for the following reasons:

  • Customer transaction error
    • Incorrect amount
    • Paying the wrong provider
    • Wrong credit card used
  • Duplicate payment

Click here to read our entire refund policy.

looking for a surgeon?

At Somerset Eye Institute, your health (and primarily your vision) are of the utmost importance to us. It’s no wonder that every year, over 9,000 patients trust SEI and our board-certified physicians for their ophthalmic procedures and care.

To gain access to the area’s highest quality ophthalmic doctors who specialize in the eye care you need, please complete this short form and let our staff assist you personally.