Originally Posted by Unty
I personally do not feel that I should have been charged the contact lens fitting fee on the contacts I came in with (of course they are fitting me correctly Ive been wearing them for the last six months!!!). If he charged me for the new set of contacts I received, then yes I can understand the charge because these are newly purchased contacts and he would like to see if they fit you correctly.
The retinal photo aside, as you would be hard pressed to find many optometrists who feel it a necessary procedure, if you had a contact lens evaluation of any kind you will be charged. I know that you were not fit into a new lens but there was still clinical decision making involved (again, given that this was a new optometrist to you) and the optometrist can expect to be reimbursed for that. The level of reimbursement should be less than that of a new lens/new patient, although many ODs do not make that distinction.
It is important to note that I've seen enough patients in ill fitting contact lenses to know that the fact that you've worn them for 6 months matters very little. In the future, given that you are a physician, just write your own contact lens Rx and be done with it. You can then charge yourself whatever your contact lens clinical decision making is worth.