HIPAA

  • Heritage Eye Care HIPAA Privacy Notice & Disclosures

  • In the course of providing services to you, Heritage Eye Care creates, receives and stores health information that identifies you. It is often necessary to use and disclose the health information in order to treat you, to obtain payment for our services, and to conduct health care operations in our office. The Notice of Privacy Practices (NPP) you have been given describes these uses and discuses in detail. You are free to refer to this notice at any time before you sign this form. As described in our NPP, the uses and disclosure of your health information for treatment purposes not only includes care and service provided here, but also disclosures of your health information as my be necessary or appropriate for you to receive follow-up care from another health professional. Similarly, the use and disclosure of your health information for purposes of payment includes: our submission of your health information to a billing agent or vendor for processing claims or obtaining payment; our submission of claims to third-party payers or insurers for claims review, determination of benefits and payment; our submission of your health information to auditors hired by third-party payers and insurers; as well as other aspects of payment described in our NPP. When you sign this consent document, you signify that you agree that we can and will use and disclose your health information to treat you, to obtain payment for our services and to perform healthcare operations and that you also signify that you have been provided with a copy of our NPP. Sometimes you may with to have only certain parts (or medical conditions) of your medical records to be released to only certain physicians or people. By signing below, I give permission to the person(s) listed below to receive information about my care (note any exclusions.) This permission will be considered ongoing until I state in writing otherwise.
  • Today's Date: 12/12/2018
  • Heritage Eye Care Appointment, Insurance, And Billing Policy

  • Billing your insurance is a courtesy provided by Heritage Eye Care. Services billed on your behalf are provided to you on credit, with no guarantee your insurance will cover any or all services provided. Therefore, the financial responsibility for services provided does not belong to your insurance company, but to the person receiving the services - the patient (or guardian). Once your medical insurance has paid according to the terms of their contract, any unpaid balance becomes your responsibility. It is very important that you realize that your insurance is a contract between you , your employer and the insurance company. Heritage Eye Care is not a party to that contract. All charges that you incur are your responsibility from the date that the services are rendered. Heritage Eye Care cannot leave an open balance on your account indefinitely waiting for an insurance company to make payment. There may be times when you will have to pay us directly and settle with your insurance company after the fact. If at any times we receive a payment from your insurance company after you have paid us, you will receive a refund promptly. We cannot waive any co-payments, deductibles or coinsurance amounts defined as patient responsibility under the terms of our contract with these various plans. You will be required to pay your co-pay at every visit, including, but not limited to, any follow-up visits. Accurate, up to date information is the patient's responsibility. You will be asked to show your insurance card at ever visit and we also request tat you verify your current insurance benefits before each appointment. We mail out statements after the 30th of every month and payment i full must be received by the 20th. After receiving 3 statements, your 4th statement will reflect a $50 late fee and your account may be turned over to collections. We are happy to discuss nay balance due, however, you must contact us within 30 days of your 1st statement and you must call your insurance company to verify your benefits before calling us. Please also note that we require a minimum of 24 hours notice to cancel an appointment. Cancellations less than 24 hours may be billed a late fee after the 2nd time. If you do not call previous to your appointment and fail to show up, you may also incur a fee. MEDICARE: I request that payment of all authorized Medicare benefits be made to either me, my beneficiary, or Heritage Eye Care for any services furnished to me by then. I understand and agree that I am ultimately responsible for the balance of my account for any professional services rendered. I understand and agree to the stipulations of Heritage Eye Care's Appointment, Insurance, and Billing Policy as stated above.
  • Today's Date: 12/12/2018

Exam and refraction. Everyone from the moment you walk in was extremely friendly and helpful! It wasn’t a show, they were sincere. Dr. Luu was very thorough and took the time to explain everything and answer all my questions.

-Joe L

The staff at Heritage Eye Care is excellent. Everyone is very warm and friendly. Being new to the are and a first time patient, Dr. Luu took the necessary time to talk with me an conduct a very thorough exam. They have a large selection of frames and Marie (Optical Manager) was so easy to deal with. No pressure, just extremely helpful.

-Richard P.

I highly recommend. They truly care about you and the health of your eyes! I wouldn’t go anywhere else.

-Susan A

This is one of the best offices I have been to. Their staff and their doctors are amazing <3

-Mariam T

Great Dr and girls always very helpful.

-Diane H

I highly recommend. They truly care about you and the health of your eyes! I wouldn’t go anywhere else.

-Susan A.

Professional, knowledgeable and courteous medical staff. Great customer service. Answered all questions

-Timothy S.

I had a very positive experience with Heritage Eye Care. Everyone was polite and very friendly. The doctor was very thorough and informative. I would like Heritage Eye Care to be my eye doctors for the future and will call them if I have any eye problems or questions. I will definitely be making all of my future eye appointments with Heritage Eye Care. Thank you.

-Suzanne L.

Kind and attentive staff. My daughter had a wonderful first time visit. Dr. Luu has a wonderful rapport with kids. The staff is great, too!

-Anonymous

Dr. Stone is the best eye doctor I have seen. I have vision impairment and she is quite knowledgeable on all aspects of my issues. She takes the time to answer questions thoroughly. The opticians (I’ve dealt with Courtney and Marie) are excellent.

-Lawrence W.

The doctors and staff are extremely nice and genuinely care about you and your health. They take the time to get to know you and any problem or issue you are having. They are also very knowledgeable and explain things in a way that are easy to understand.

-Anonymous

Dr. Luu has given me both answers and relief to lengthy dry eye issues. I am so thankful for this practice and her excellent care.

-Leigh Anne C.

Dr. Yoakum is simply the best. Very thorough and thoughtful. Everyone in the practice is very friendly and professional. Courtney is the most knowledgeable optician I have ever had with helping to choose frames and fitting glasses. I highly recommend Dr. Yoakum and this practice.

-Elbert E.

Thank you so much for seeing me immediately yesterday! Your staff was so awesome and my eye is much better!

-Elizabeth D.

Dr. Luu was amazing and so helpful, not only is she beautiful she is very smart and friendly as well. She explained things very well and was very insightful. Amazing job!

-Christopher G.

First-Rate all around!!

-Anonymous

Every person I interacted with was extremely cordial and helpful. I’m 57 years old and can honestly say that I have never been greeted so well by an entire staff!!

-William B.

It’s a pleasure to come to this office! I always feel so well cared for, and that I have the complete attention of whoever is working with me. I never feel hurried; all my questions are answered, and everyone is kind and friendly.

-Rebecca L.

They always provide excellent professional service and all are also courteous, polite and supportive. In emergencies they always find a way to help.

-Michael C.

Very knowledgeable and friendly. Appreciate the efficient approach to care balanced by a sincere effort to inform and ask appropriate questions of the patient. Highly recommend this practice.

-James B.

Always a great experience. Friendly and professional staff. First rate service. Great all around experience.

-Beepo M.
Everyone very friendly and checkup I was well informed.
-Deborah P.

Very thorough, taking the time to explain what/why if asked. Probably the most thorough
eye exam I’ve ever had. Will go back next year.

-Chris T.
Friendly staff and professional. Have been going there for years and I’m happy with them!
-Shirley C.

What a great experience! Never had such a thorough eye exam in my entire life. Dr. Luu was so amazing! She explained something about my dry eyes that I had never known, nor been told by any other doctor in the past. Highly highly recommend!

-John G.

I have never been so impressed with an eye doctor. The entire staff is friendly, professional and there for any questions you may have. My doctor, Dr. Luu is like no other doctor I have dealt with. I actually look forward to seeing her. I would recommend this office highly.

-Kathleen H.

Dr. Yoakum is by far the most thorough and informative eye Dr I have ever been to. I never leave the office without all questions being addressed. 5 star care always.

The associates at Heritage Eye Care were professional, thorough, and just a ray of sunshine compared to my old provider I highly recommend Dr. Luu!

-Natalie S.

Dr. Luu is excellent. Great with children…very comforting, encouraging and offers explanations for what she is doing. We’ve also seen Dr Yoakum and again would rate him excellent with both adults and children. I would highly recommend this practice. We’ve had great experiences with everyone from the front office staff to the doctors. They’ve always been on time with appointments too. It’s rare to find an office that is as top notch as this one!!

Dr. Luu was is very understanding and listened to my concerns. She gave me good suggestions. My waiting time was less than 5 minutes and everyone was very helpful. I would recommend Heritage Eye Care.

-Mari R.

Heritage Eye care is great. Very friendly and knowledgeable staff. I highly recommend.

-Paul J.
Excellent service and a friendly staff.
-Brad H.