Co-payment Consent

Monday: 9:00 AM - 5:00 PM
Tuesday: 9:00 AM - 5:00 PM
Wednesday: 9:00 AM - 5:00 PM
Thursday: 9:00 AM - 5:00 PM
Friday: 9:00 AM - 5:00 PM
Saturday: Closed
Sunday: Closed

Name: Manhattan Vision Associates
Address: 160 East 56th Street, New York City, New York, 10022, United States of America
Telephone: +1-866-225-7640
Price range: $000 - $300

MANHATTAN VISION ASSOCIATES
160 East 56th Street, Suite 300
New York, NY 10022
212-688-4277
I understand that I am responsible for any co-payments that are linked to my examination and/or glasses/contact lens benefit through my vision insurance

I also understand that medical testing may be necessary and will be billed to my medical insurance (e.g. diagnostic imaging and testing for ocular disease such as glaucoma, cataracts, etc.) I understand that I am responsible for any co-payments, co-insurances, and/or yearly deductibles that are linked to my medical insurance.

If I do not have separate vision insurance and my major medical does not cover the refraction for my glasses, I understand that I am responsible for payment for the refraction and will be billed accordingly
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Manhattan Vision Associates

MANHATTAN VISION ASSOCIATES 160 East 56th Street, Suite 300 New York, NY 10022 212-688-4277

MANHATTAN VISION ASSOCIATES
160 East 56th Street, Suite 300
New York, NY 10022
212-688-4277