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Home » Acknowledgment of receipt of Notice of Privacy and Bill of Rights

Acknowledgment of receipt of Notice of Privacy and Bill of Rights

Acknowledgment of receipt of Notice of Privacy and Bill of Rights

  • I acknowledge that I reviewed Texas State Optical Bandera’s Notice of Privacy Practices.
  • By law, we can only discuss your account, exam records, and any other personal information with persons you authorize. Please list the information of those whom you authorize us to discuss your personal information.
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  • Vision vs. Medical

    Most people have vision insurance and medical insurance. They are very different in terms of services they cover and it is important for our patients to understand those differences. Vision coverage (VSP, EyeMed, Comp benefits, Superior, etc.) is mainly designed to determine a prescription for glasses and is not equipped to deal with complex medical conditions and/or diagnoses. It does allow for a basic screening of conditions but when a medical condition is determines by out doctors such as diabetes, cataracts, dry eye, floaters, eye infection, etc., it is necessary to file the visit with your major medical carrier (BCBS, Aetna, UHC, Medicare etc.) and the specialist co pay for that insurance will apply as well as any deductibles, co-insurance, or non-covered services. Insurance carriers set these rules and our office is obligated to follow them. In most cases, there is no way to know prior to the examination which type of insurance our office will be able to file for you, resulting in you being responsible for any and all charges at the time of service. In the event that we do not take your insurance we will provide you with an itemized receipt, so that you may file with your carrier for reimbursement. If you have any questions, please let us know.

    I understand the paragraph above and authorize Texas State Optical Bandera to file my insurance by the above guidelines.
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Call for an Appointment, We are open!

We are making special arrangements with the current public health concerns. When you call Texas State Optical, we will space your appointment time to be mindful of social distancing and your personal comfort.

We kindly ask that you hold off on scheduling your appointment if…

  • You have traveled by plane in the last 3 weeks.
  • You have traveled out of the state or country in the last 3 weeks.
  • You are currently feeling ill or are having symptoms such as cough, fever, sore throat, ect.

Please call us in advance with any questions.

If you are a contact lens wearer with less than a 3 month supply, we encourage you to call in and place your orders to help avoid any possible future delays. Free shipping to your home address will be given with a 2 box purchase minimum.

When you schedule your eye exam appointment, you can have the extra confidence that you will be safe and comfortable at Texas State Optical.

Schedule an Appointment


Schedule an Appointment