Frequently Asked Questions
FAQ's About Our Optometry Services
1.) Q. How often do we schedule visits?
A. We can schedule visits once every three months. If it is a higher volume bed facility, we can schedule more often as to ensure every patient is seen. We conduct comprehensive eye exams and annual diabetic exams as well. Some of our common patient follow ups or intermediate exams include: New Glaucoma Therapeutics = 1 month, Glaucoma and Wet AMD = 3 months, Cataracts and Dry AMD = 6 months. there is only a limited amount of the ocular disease we diagnose, monitor, and/or treat. Anything that requires an Ophthalmologist for surgery or further treatment we will gladly refer the patient out.
2.) Q. How does billing work?
A. Billing goes through ALL insurance providers and the cost of a visit is dependent on the patient's need. There is no charge to the facility and no up-front costs to the patient.
3.) Q. Do we bill for adjustments and repairs?
A. If the patient has a comprehensive exam or any type of follow-up, there is no charge for a cleaning, adjustment, and/or repair. If the patient does not have an exam scheduled, we bill through insurance and the cost is $55. this is NOT out of pocket.
4.) Q. What is the difference between a vision screening and an eye exam?
A1. A vision screening looks at the initial functionality of the eye and determines to what extent an eye exam is needed. A vision screening will consist of the Optometrist examining both the external and internal part of the eye to determine whether a full dilated exam would be beneficial. The Medical Assistant will conduct near and distance visual acuities to see where the patient is at with their visual capabilities.
A2. An eye exam is a comprehensive look into the eye. This is done by dilating the pupils and looking at the front and back of the eye to determine if there is a type of degeneration or ocular disease present. They will also be examining the external part of the eye to report any type of dermatitis or lid lesions. Along with that the optometrist will check to see if there are any changes in the prescription of the patient and fit the patient for new glasses if they choose to go that route.
5.) Q. How long is a glasses prescription good for?
A. A prescription is good for two years. However, if there are changes in the prescription, the Optometrist will give the patient the option to update their glasses.
6.) Q. Do we have our own glasses?
A. Yes, we have 12 pairs for men and 12 pairs for women that are through the preferred and covered brand for insurance companies. These frames are hand picked by our Ophthalmic team and are subjectively stylish.
7.) Q. How are the glasses received?
A. The whole process of ordering and receiving glasses takes about 4-6 weeks. Once they arrive at corporate, our Medical Assistant will deliver the glasses to your facility and fit the patients with their new glasses.
8.) Q. How many patients do we need to do a visit?
A. We schedule visits based on the need of the facility and will schedule an optometry exam day with as few as 15 patients to consider it a good day, 20 for a great day, and 25 or more to consider it an excellent day. We will schedule visits with less than 15 patients, but as we continue to grow our services, our baseline will be 15.
9.) Q. How long does an exam last?
A. The exams takes roughly 10-20 minutes based on the needs of the patient. We bring patients to the area in the facility where we are conducting exams at least 15 minutes prior to the start of the exam in order to dilate their eyes.
10.) Q. How many patients do we have waiting before the exam?
A. We have three waiting outside of the exam room before they are seen by the doctor so there is enough time for the dilation to take effect.
FAQ's from Residents & Families
1.) Q. What does it cost to enroll for services provided by In-House Senior Services?
A. There is no out of pocket costs to enroll for services. In-House only bills for the medically necessary services that are provided for each visit.
2.) Q. Can I enroll for services at any time, or is it an annual enrollment?
A. You can add or drop services at any time. This can be done by completing a consent form and indication the additions or subtractions of services you desire. These forms can be obtained from your facility contact, or by contacting In-House Senior Services directly via phone at 612-243-8999.
3.) Q. Does Medicare cover these costs?
A. Medicare covers routine Optometry, Audiology and Podiatry at 80% with a 20% co-pay. In-House will submit billing to Medicare and secondary insurance as available. If you are in your deductible period at the beginning of a new year, you may be responsible for services if that annual deductible has not been met. Medicare does NOT cover any dental care at this time.
4.) Q. Does Medicaid/ Medical Assistance cover these services?
A. Medicaid/ Medical Assistance does provide coverage for routine visits for all services provided by In-House Senior Services.
5.) Q. What if there are services, procedures or prosthetics that are not covered by my insurance?
A. In the event that an In-House physician recommends goods or services that are not covered by insurance, In-House will provide a "Care Plan" that explains the recommendation along with an estimated out of pocket cost. In-House will not proceed with the recommended plan without patient or family consent.
6.) Q. How often do your providers come to the facility?
A. In-House is a preventative and pro-active provider, and works with each individual facility to determine the frequency of visits needed for each provider based on utilization, new enrollments, care plan follow up and referrals from facility staff. In-House does try to address urgent and emergent situations as quickly as possible, but may, in limited circumstances, need to refer some cases out to ensure the highest level of care for the patient.
7.) Q. Can I purchase Hearing Aids, Dentures and Glasses through In-House?
A. In-House can and will provide hearing aids, dentures and glasses on a private pay basis if you desire. In-House also has a 0% Interest Free financing program for up to 36 months for those who may need hearing aids or dentures, nut the up front cost makes that difficult or impossible.
8.) Q. Can I be present during the exam or procedures for my loved one?
A. If you would like to be present during an exam or procedure for your loved one, that is perfectly acceptable, and even encouraged if you feel it would help to facilitate a smooth appointment.
FAQ's from Facilities
1.) Q. Are there any facility fees for service?
A. In-House does NOT charge any service fees, utilization fees, transportation or house call fees to the facility.
2.) Q. How do residents enroll in the program?
A. In-House Senior Services contracts with facilities under the facilities' "Consent to Treat" when applicable. When a new facility starts with In-House, we do a joint mailing to all residents and or POA's announcing the services available and include a "Patient Consent to Services" form that allows the resident or POA to select the services they would like to utilize. After services have been established, In-House provides enrollment forms for the facility to use in its admission packets. That can then be faxed to In-House upon completion to enroll new admissions for services.
3.) Q. How does the CompleteCare Replacement work? (For qualifying facilities)
A. When the facility contracts with In-House to provide all 4 services, they become a CompleteCare Facility. Under that umbrella, each resident has the opportunity to select any combination of services they would like. If an individual choose to see all 4 providers, they become a CompleteCare Resident, and thus are eligible for free repair or replacement of hearing aids, glasses and dentures.
4.) Q. Are there options for people that are not a "CompleteCare" resident to get repairs or replacements?
A. In-House can do repairs on prosthetics, and will bill the individual resident for those repairs. For new or replacement hearing aids and dentures, In-House also offers a 0% interest free option for residents and families.
5.) Q. How often do the providers come to the facility?
A. In-House schedules provider visits based on utilization, new admission enrollment, care plan follow ups and facility referrals. Podiatry is the most regular service, and at the very least, is scheduled approximately every 62 days.
6.) Q. What if a resident has a medical emergency?
A. In-House is a preventative and pro-active service provider, and recognizes the potential for emergency situations. If an emergency arises, you should call the Customer Care line and the staff will help to triage the situation. If we can, and it is deemed appropriate, In-House will schedule a provider to visit within 2-3 business fays. If we are unable to get a provider out, or it is determined that immediate care is needed we may recommend an outside referral to ensure the highest level of care for the resident.
7.) Q. Does the facility have to provide staff to assist with exams?
A. In-House does not ask to have facility staff with exams. Each provider is accompanied by a medical assistant to help with exams. We do ask that the facility assist in getting residents to and from the exam location in the facility.
8.) Q. What does the facility need to provide when the providers come?
A. In-House asks that the facility make a location available for the providers to set up, like an exam room, beauty shop or private room. ideally a quiet location that can be darkened and running water is a plus! We will work with you to determine the best options. We also ask that the facility assist in getting residents to and from the location.
FAQ's About Our Audiology Services
1.) Q: What types of hearing aids are available today?
A: In House Senior Services offers two styles of hearing aids. They are described as in-the-ear (ITE), and behind-the-ear (BTE). Each style has advantages and disadvantages. It is very important to know that individual hearing loss, lifestyle needs, and dexterity or visual impairments will help determine what is most appropriate.
2.) Q: How do consumers choose the right type of hearing aid?
A: The degree of hearing loss is a major factor in deciding what type of hearing aid best suits a person's need. Personal preference and listening lifestyle are also factors that should be considered. Your audiologist will guide what hearing aid is most appropriate for each individual.
3.) Q: How does a hearing aid work?
A: The microphone in the aid picks up the sound in the environment and changes it to electrical energy that goes to a set of amplifiers and other modifying and adjusting circuits. The modified electrical signal is then sent to a miniature speaker (called a receiver) and delivered to the ear. The newest aids are smart enough to amplify certain sounds that are tailored to each hearing loss.
4.) Q: How much do hearing aids cost?
A: The cost of hearing aids vary depending on the user needs and on their listening lifestyle. There are basic hearing aids that work well for individuals that live quiet listening lifestyles and there are more advanced hearing aids that work best for someone who lives a more active listening lifestyle- around more noise. What the hearing aids looks like (the style) does not determine the cost.
5.) Q: Can consumers try a hearing aid before deciding to purchase one?
A: During the trial period we do ask that the hearing aid is paid for or applied for financing credit. If the resident decides to return the hearing aid for whatever reason, it can be fully refunded,
6.) Q: Can consumers receive refunds if they choose not to keep the hearing aid?
A: The hearing aid contract will state your rights. In House Senior Services offers a 75 day trial period, meaning you can wear the hearing aid for 75 days. If for any reason the hearing aids are not working to your satisfaction, they can be returned for a full refund. If the hearing aid is lost or damaged beyond repair, it will be replaced but can no longer be returned for credit.
7.) Q: Can I obtain financial assistance for a hearing aids?
A: Some insurances will help cover costs and some do not. We do offer financing options for up to 36 months.