Q: Do routine eye examinations include a contact lens fitting/prescription?
A: No. A routine eye examination provides the patient with a glasses prescription. A contact lens prescription requires a contact lens fitting.
Q: How is a routine eye exam different from a contact lens fitting?
A: Some of the information gathered during a routine eye examination is used to determine the proper contact lenses. However, the final contact lens prescription is not determined until additional information such as the fitting of the lenses are acquired during the contact lens evaluation.
Q: How long is a contact lens prescription valid?
A: One year, unless determined by Dr. Menge that the patient needs to return sooner, based on any eye health concerns.
Q. How much do the contact lens fittings cost?
A. The fees are determined by the complexity of the fit and also whether the patient has previously worn contact lenses. A more complex fitting requires more time with Dr. Menge, as well as potentially more follow-up appointments to determine the appropriate prescription.
Q: What is covered in the contact lens fitting fee?
A. Training on the proper care of lenses (for new patients), trial contact lenses, sample of contact lens solution, and evaluation by Dr. Menge. Multiple visits to the office to achieve a more complex fit are covered, as well as subsequent eye health monitoring.
Q. Why does a fitting cost more for first-time contact lens wearers?
A. Patients wearing contact lenses for the first time require a little extra time with Dr. Menge and/or our staff, with regard to teaching the patient insertion and removal techniques for the contact lenses, as well as care of the contact lenses. This is not necessary with previous wearers.
Q: This is my first visit to your office; I’ve been wearing the same contacts for years, and have never had any problems. I just need a contact lens prescription. Will this require an additional fee?
A: Yes. There still needs to be an evaluation of the contact lenses themselves with regard to the fit and vision provided with the current contact lenses. A contact lens prescription cannot be given without evaluation. After this evaluation, if Dr. Menge determines there is no need for any changes made, a contact lens prescription may be released to the patient. If Dr. Menge determines the fit or vision to be unacceptable, a new lens may be required to provide a better or healthier fit.
Q: Do I need to pay this fee each year?
A: Yes. If you continue to use the same contact lens, a small fee is incurred each year. If however, at some point, Dr. Menge determines that the lens needs to be changed due to eye health reasons, a re-fitting fee will be charged because of the additional time required to fit with a new lens. A new fee will also be required if the patient decides they would like a different type of lens the following year, for any reason; i.e. the patient decides they would now like to wear a daily disposable lens instead of another wear schedule. This new lens material would need to be evaluated.
Vision after 40
Q: Why can't I see up close anymore, and it is hard to focus on near objects? My arms are too short!
A: This phenomenon starts to occur when people reach their mid-40s. This process will affect all people, and is called presbyopia. Even if you have never had vision problems before, you will eventually lose the ability to focus clearly on near objects. This is a completely natural process, and can easily be corrected with glasses. The good news, is that modern technology has greatly increased our options in glasses correcting for presbyopia. You don't have to get glasses with a "line" in them. We have the latest progressive "no-line" lens technology, and strive to make all our presbyopic patients happy with their glasses.
View Patient Accounts
Q: Why sign up for a patient account?
A: This portal allows you..
-Update key information such as new phone numbers, email addresses, and addresses.
-Complete your pre-exam interviews online.
-Schedule appointments any time of day.
-Check the status of glasses and contact lens orders.
-See billing statements
Q: How do I sign up?
A: First, schedule your appointment. You will receive your temporary password. Your username is your first initial of your first name, last name and last two digits of your birthyear with no spaces. (Ex. John Smith born in 1978 would have a login of jsmith78). If this is your first time logging into RevolutionPHR and you have not received your temporary password via email, please call our office at 406.228.4895.
Q: When I click the "Patient Portal" link, I am directed to RevolutionPHR. What is this?
A: Revolution PHR is the company we have selected to manage our patient online accounts. Revolution PHR stands for “Personal Health Record” and represents an online location where you and only you can view important information about your relationship with Hi-Line Eye Care.
Q: Is RevolutionPHR safe?
A: RevolutionPHR utilizes the highest standards of online security while allowing you to view portions of your eye care record through any standard Internet browser on a PC or Mac computer or an iPad. We encourage you to use the Login information created specifically for you to review the many features available. You can decide if access to RevolutionPHR is right for you, and participation is completely optional. We have no record of your access and we allow you to use this online portal at your discretion.
Routine Eye Exams
Q: Why do I need an eye exam if I can see great and I've never worn glasses?
A: Prevention. Routine eye exams are critical in preventing debilitating eye disease. Many eye diseases that affect your vision have little or no symptoms until the problem has become sight-threatening. The most important aspect of any eye exam is to insure quality of life by providing you with a comprehensive, thorough medical examination of your visual system.
Q: What’s the difference between medical insurance and vision plans?
A: This is often confusing for many patients, but hopefully this will help in understanding what insurance can be used. Vision plans (VSP, EyeMed, Davis Vision) cover ROUTINE eye care only (nearsightedness, farsightedness, astigmatism). When you schedule a comprehensive eye exam you will be examined for many conditions such as glaucoma, macular degeneration, dry eyes, cataracts, retinal holes or tears, diabetic and hypertensive eye disease among many others; plus, a new glasses prescription.
If your eye exam involves a medical condition that requires specific counseling, documentation, and/or regular monitoring, then your visit is NOT COVERED by your vision plan. Unfortunately, Dr. Menge cannot tell if you have any medical eye conditions before you are thoroughly examined. Medical insurance is used when an eye-related medical problem such as diabetes, glaucoma, macular degeneration, cataracts, or dry eyes, (among many others) is found during the eye examination. In these cases, your medical insurance will be billed for the eye exam even though you may have a vision plan. Your medical insurance co-pays and deductibles will then be applied.
OCT Scans at Hi-Line Eye Care
Dr. Menge is committed to providing the most advanced technology and cutting edge care to patients in northeastern Montana. Hi-Line Eye care is proud to announce the addition of the OCT screening and fundus photography to our complete eye examination.
The OCT screening can detect the earliest signs of macular degeneration, glaucoma, diabetic retinopathy and many other vision threatening diseases. An OCT is similar to an MRI, but for the eye. It uses spectral domain optical coherence tomography (SD-OCT) to visualize cross sectional images of the retina in seconds.
Fundus photography is a retinal photo that gives Dr. Menge a clear view to examine the retina for birth defects and to monitor eye health for the earliest signs of potential blindness caused by macular degeneration, hypertension, glaucoma, diabetic retinopathy, cholesterol deposits, and retinal tumors.
Dr. Menge highly recommends that our patients receive these tests as part of their comprehensive vision exam. As part of your pre-examination work-up, our technician will perform this test which Dr. Menge will review with you during your examination today. The results of this exam will become a part of your permanent patient record. The fee for these tests are not typically covered by your medical or vision insurance unless being used to actively follow disease. This cost will be added into the price of your visit today. Any questions you have about these tests can be discussed during your examination.
Private Opticals vs. Boxstore
Q: There seems to be a large variance in price for lenses and frames available online and at box store retailers; is there a quality difference?
There are major quality differences depending on the materials and manufacturing method. Frames made with injection-molded plastic, they type often offered by discount retailers, are much less expensive to make. They tend to be brittle and require frequent adjustments. Hi-Line Eye Care does not carry injection-molded plastic frames dut to these significant drawbacks.
There are many different materials used for lenses. Many discount lenses are made from basic polycarbonate, which is lightweight, but doesn’t produce as clear of vision compared to other materials that are thinner, shatter resistant and ultra-clear. Which lens is right for you will depend on your prescription, your budget, and personal preferences.
Q: Are all Progressive lenses the same?
A: NO. DEFINATELY NOT.
Hi-Line Eye Care only offers the newest generation of digitally manufactured progressive lenses, which provide superior vision up close, at mid-range, and for longer distances. Box stores do not sell digital manufacture lenses, and have offer limited mid-range and near vision areas. Our latest digital lenses are truly customized for your frame and prescription because we take measurements for pantoscopic tilt, frame wrape, and vertex distance in office with an iPad fitted with optical customization hardware and software. Our customers who have converted from box store lenses to our digital progressives are always impressed with the performance of their new lenses.