Drs. Fine, Hoffman & Sims accept Medicare assignment and are providers for many different types of insurance. You are however, responsible for knowing your insurance benefits and limitations. Please be prepared to self pay for our services unless you have your insurance cards with you at the time of appointment.
Payment must be made at the time of service. To meet our contractual obligations of being a provider with your insurance company, we are required to collect your co-pay at the time of service.
HMO (Health Management Organization):
If you are covered under any of the following HMO insurances and you are being seen for a medical reason, it is your responsibility to contact your Primary Care Physician at least one-two weeks PRIOR to your appointment date to obtain a referral. If you do not have a referral, you will be asked to reschedule your appointment until your referral has been obtained or sign a disclaimer stating you will be responsible for payment if a referral is not obtained.
- REGENCE/BLUE CROSS: Preferred Choice 65
- PACIFIC SOURCE HMO
- CIGNA HMO
- OUT OF AREA HEALTH PLANS
- PROVIDENCE MEDICARE EXTRA
OREGON HEALTH PLAN (OHP)/LIPA
OHP needs a referral for medical appointments and a prior authorization for vision appointments. It is your responsibility to contact your primary care physician (PCP) at least one-two weeks prior to your medical appointment to obtain a referral. If you are using vision benefits, please let our referral coordinator know so that a prior authorization can be obtained from your insurance company prior to your appointment (Plus Plan only). If there is not a referral or a prior authorization in place prior to your appointment, you will be asked to reschedule your appointment.
If you have “vision benefits” available and are coming in only for a routine eye examination you will not need to get an HMO insurance referral. If you choose to use your vision benefits you must let our office know this when making your appointment. This coverage is usually an additional benefit and is not to be confused with medical coverage. Please contact your insurance company to verify that you are eligible for your ROUTINE VISION BENEFITS.
VISION SERVICE PLAN (VSP)
VSP requires that we get authorization prior to your appointment. Please let us know if you are using your vision benefits through VSP prior to your appointment so we can obtain authorization.
NOT PROVIDERS WITH INSURANCE COMPANY:
The following insurance companies will not pay for you to see Drs. Fine, Hoffman & Sims. If you do choose to see our doctors, you will be responsible for payment at the time of service.
- CAREOREGON HEALTH PLAN
- EYE CARE INTERNATIONAL
- EYE CARE PLAN OF AMERICA
- VETERANS ADMINISTRATION (VA)
- OREGON HEALTH SYSTEMS, INC
- COLE VISION
- KAISER PERMANENTE
- FIRST CHOICE 65
Feel free to call or drop in if you'd like to speak to someone in person.
Commonly Asked Questions:
What should I bring to my appointment?
Bring your insurance card and any forms you can fill out in advance. Click here to view the
I have vision coverage and need a routine eye
appointment. Do I need a referral?
No, but you should check with your insurance company to verify that
you are eligible for your routine vision benefits.