Policyholder Services



Guide to Intraocular Refractive Surgery Requirements

Although the standard OMIC policy excludes coverage for intraocular refractive surgery procedures, OMIC insureds can request coverage for specific procedures following review and approval of a supplemental refractive surgery questionnaire. A questionnaire is required for each type of intraocular refractive procedure performed. No additional premium applies for this valuable coverage.

OMIC believes that prudent underwriting guidelines help protect both the company and its insureds. These guidelines, based on sensible medical practice and sound risk management principles, were developed by practicing refractive surgeons to reduce the likelihood of claims and to aid in the defensibility of any resulting claims. (Download a summary above)

OMIC is proud that its claims experience is significantly better than industry average, and we believe this is due in large part to the company’s underwriting guidelines. We routinely review our refractive surgery guidelines and modify them when warranted. Most revisions to date, many of which were the result of policyholder feedback, have served to expand, rather than reduce, coverage.

Physicians are invited to contact an underwriting representative if they have any questions regarding OMIC’s guidelines for refractive surgery.

 

Updated 12/9/2015

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Six reasons OMIC is the best choice for ophthalmologists in America.

#3. Best at defending claims.

An ophthalmologist pays nearly half a million dollars in premiums over the course of a career. Premium paid is directly related to your carrier’s claims experience. OMIC has a higher win rate taking tough cases to trial, full consent to settle (no hammer) clause, and access to the best experts. OMIC pays 25% less per claim than other carriers. As a result, OMIC’s base rates have consistently averaged approximately 15% lower than multispecialty carriers in the U.S.

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