Mail payments to:
Falgoust Eye Medical & Surgical
P.O. Box 4765
Lake Charles, LA 70606

For your convenience we
accept all major credit cards.

Payment Policy and Insurance
Payment for each visit is due on the day of your appointment. As a courtesy, we will bill your insurance company. The patient’s portion of the visit, refraction fee, and the co-payment is due upon departure on the day of your scheduled appointment. If we do not receive payment from your insurance company within sixty days after filing the claim, you will be expected to pay the full fee for the services rendered. In the event of any overpayment, you will be promptly refunded/reimbursed.

Please provide us with all necessary forms and copies of your insurance cards in order for us to file your claim.

We will file all claims to Medicare with a valid signature on file. We will also file with your secondary insurance. Routine eye exams and refractions are not covered by Medicare and payment is requested at the time of service.

Health Care Plans/ Private Insurance Carriers/ PPO
All claims will be filed to your insurance carrier. Co-payments are due at the time of service. Contact lens evaluations and contact lenses are usually not covered by most health care plans. Please check with your carrier for information about this.

Manage Care Plans/ HMO
A valid authorization is required for all services performed. All claims will be filed for you to your insurance carrier. Co-payments are due at the time of service. Please check your insurance handbook or check with your insurance company before scheduling an appointment, to be sure you will be seeing a participating provider. Failure to obtain a valid referral will result in patient being financially responsible for all charges incurred.

The best medical care can be provided only on the basis of mutual understanding. We encourage you to discuss any questions you may have regarding our policies with our billing staff.

Falgoust Eye Medical and Surgical