The Floater Doctor

1. There is a one-time consultation fee. No office or exam charges after that.
2. There is an initial treatment fee which covers a first and second treatment (if needed).
3. For any 3rd, 4th, or subsequent ‘touch-up’ treatment (if any are needed) there is a reduced treatment fee. There is no time limit. Even newer or different floaters years later will always be just touchup for that same eye. 
4. Treatment fees are per eye.

5. We accept credit & debit cards for payment, but we do offer an approximate 5% discount for payment with cash, personal or cashier’s checks (from American or Canadian bank accounts). Read through this page for specific details. For those not wanting to carry cash, we can accept ZELLE payments directly from your bank with the same cash discounted fees. 
6. We do not finance treatments nor do we accept Care Credit or other pre-approved finance plans for medical procedures.

7. We are not an insurance-contracted practice and we have opted out of Medicare. That is, we do not submit your insurance information to your insurer and wait for their decision to pay. We will provide the documents you may need to submit the claim on your own. We can not provide advice as to whether your insurance company will pay for the procedure. See the note (below) regarding insurance.

8. We collect fees at the time of service.​

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INITIAL EXAMINATION FEE / CONSULTATION
$250.00 (one-time fee). No Discounts.

$250.00 for initial evaluation, consultation, slit-lamp examination and dilated examination of the retina and vitreous cavity. This initial fee is due regardless of whether laser is performed or not and whether evaluating one or both eyes. This thorough visit takes about 30-45 min. The goal is to assess the health of the eye and retina, to visualize the floater(s), and determine the “treatability” and prognosis for treatment success. We block off enough time at this visit to go ahead and treat if you wish. It is your choice.

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STANDARD INITIAL TREATMENT FEE
$1,850.00 per eye for first two treatments (that is $1850.00 TOTAL for the first two treatments of an eye). For cash, check, or cashier’s check, Zelle bank transfer, the discounted fee is $1750.00.

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SECOND TREATMENT OF SAME EYE
No charge, included in initial treatment fee as described above.

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THIRD AND ANY SUBSEQUENT TREATMENT OF SAME EYE
$400.00 per eye, per treatment session. For cash, check, or cashier’s check, Zelle bank transfer the discounted fee is $380.00

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Any subsequent treatments in the same eye will be charged a facility/laser fee at $400.00 per eye per session. Most floater treatments will require more than one treatment and some very extensive or complex cases may benefit from multiple treatments..
 

BUDGETING FOR TREATMENT / SETTING EXPECTATIONS:
We have found the majority of isolated floater material (such as with Weiss ring-type floaters) can satisfactorily treated in the first 2-3 treatments. Larger, diffuse, and cloud-like vitreal condensations may take 3-4 treatment sessions or rarely, several. Treatments can be performed on consecutive days, or spaced apart at the patient’s convenience. It is impractical to predict how many treatments it may take prior to examining the patient, and even then, it can be quite difficult.

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WILL YOUR MEDICAL INSURANCE COVER IT?

Dr. Johnson’s practice does not accept medical insurance for payment of services and he is considered an “out of network” provider. Dr. Johnson is not contracted with the insurance companies. We can not provide advice on how this treatment may or may not fit into your particular medical insurance plan. That said, you may still be able to get partially or fully reimbursed for the procedure. Generally, Dr. Johnson will provide patients with a detailed receipt which includes dates of service, diagnosis and treatment codes, and what has already been paid by the patient. The patient can submit a claim independently with this receipt. Your insurance web site or customer service representative should be able to help you get a claim form specific to your insurer. We have learned a few other things about this process and can share those observations mixed with some advice here.

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COMMERCIAL INSURANCE INFORMATION (e.g. Blue Shield, United Healthcare, many others)
You could ask if the plan covers the laser treatment of vitreous degenerative disorders. The Pertinent codes are below:

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CPT (Procedure Code): 67031 and performed 'in-office'

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ICD-10 DIAGNOSIS codes we use:
H43.311 Vitreous Membranes/Strands- RIGHT EYE
H43.312 Vitreous Membranes/Strands- LEFT EYE
H43.313 Vitreous Membranes/Strands- BOTH EYES

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If they ask, here are the medical practice's identifying numbers:

Federal ID number (EIN 26-4561133)

Corporation’s NPI number (1891018206)

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MEDICARE RECIPIENT INFORMATION:

Dr. Johnson has opted out of the Medicare program. We have submitted an affidavit with the Medicare program attesting that we will not submit any claims to their program. As such, if you are over the age of 65 and a Medicare beneficiary, there are some special considerations that apply:

• The patient will be entering into a private contract with Vitreous Floater Solutions, Inc.

• Patient agrees not to submit a claim (or to request that Physician submit a claim) to the Medicare program with respect to the Services, even if covered by Medicare Part B.

• Patient acknowledges that neither Medicare’s fee limitations nor any other Medicare reimbursement regulations apply to charges for the Services.

• Patient acknowledges that Medi-Gap plans will not provide payment or reimbursement for the Services because payment is not made under the Medicare program, and other supplemental insurance plans may likewise deny reimbursement.