We accept the following plans*
Vision Benefit Plans
Insurance Frequently Asked Questions
What do Vision benefits cover?
Vision benefits are typically an added benefit to your Medical Insurance Plan. It is intended to provide basic "wellness" exam for refractive purposes such and nearsighted, farsighted, astigmatism diagnosis. In addition to the exam, there is typically an allowance for the material part for either glasses or contact lens benefits.
These plans will not cover any medical eye care. Medical eye care are any care beyond glasses/contact lens prescriptions, such as eye infections, dry eyes, floaters, diabetes, etc.
What do Medical insurances cover?
Medical Insurances will cover all medical related eye care. Even if you do not have any separate vision insurance, some medical plan will have routine exam benefits with refraction services embedded. Please call your insurance provider for more specific details or give our office a call and we will answer any questions you may have about your insurance coverage. If you do not have any routine exam benefits, you must have a Medical reason to be seen with your medical insurance.
For example, if you came in for an eye exam for blurry vision. It could be just vision changes due to uncorrected refractive error (which glasses will correct and vision benefits will cover) or it could be from diabetic retinopathy or cataract changes that causes blurry vision (which glasses could not correct and medical insurance will be used). Because this exam requires a much more in depth evaluation for a medical reason and not a "wellness" exam, this exam will be considered a Medical eye exam.
Why is it so complicated?
Good question! These are the rules set by insurance companies and all medical providers are required to follow them.
Is there a fee for my follow up visits?
Yes, there will be a fee associated with each office visit.
An example of what a Medical health insurance plan might offer:
Common terms & definitions
*As a courtesy, our office will pull eligibility & benefits for your Medical Insurance and Vision Benefit Plans. We will provide estimated cost for your visit based on the information given and received at that time. We recommend for you to know your benefits and call your carriers prior to your visit, since estimated quotes are subject to change and you are ultimately responsible for knowing your plan and all financial obligations. All necessary information (member ID #, etc) must be available on the date of service for us to bill that carrier. If you find out after the fact you have coverage, please inform our office and we will be more than happy to provide you with an itemized Invoice for you to submit to your Medical Insurance or Vision Benefit Plans. Please contact us should you have any other questions. Thank you.