We accept and file most major health insurance plans. Please check with your insurance company if Dr. M. Scott Hickman/Ad Astra Eye, LLC is in-network with your specific plan. If you have additional questions about your coverage, please feel free to contact us.
Your insurance plan(s) will require us to collect the “specialist co-pay” at the time of service. Please familiarize yourself with your specialist co-pay.
In addition to your copay, if your insurance requires a referral from your primary care physician, the referral must be in place before you see the doctor.
Refraction is a procedure necessary for our physician to evaluate your vision and or write you a prescription for glasses. A refraction would help determine whether the difficulty in vision is associated with a medical problem or a need for glasses.
All copays and non-covered services such as refractions (new prescription for your glasses/contact lens) are due at the time of service.
*Self-Pay Patients *
If you do not have any medical insurance, all office services are due at the time of service. Please ask our staff for the self-pay patient courtesy rate.
Welcome to Ad Astra Eye! These forms are available to be downloaded.
If you would like to fax us the completed forms, please fax to 913-660-7030.
- New Patient Information Form
- New Patient Demographic Form/ Financial Agreements Form
- Ad Astra Eye Medicare Secondary Payor (MSP) Questionnaire
Please remeber to bring the following to your appointment:
- Your driver's license or photo I.D.
- Your completed new patient forms
- A list of your current medications with dosage
If you wish to pay your bill over the phone, please call 785-424-8805.
We accept Visa, MasterCard, Discover.
Please mail your checks to: 1429 Oread West St., Suite 110A, Lawrence, KS 66049, payable to Ad Astra Eye, LLC.