Which insurance coverage should I use?
It is relatively common to have a vision benefit plan in addition to your medical insurance. Sometimes this can lead to confusion about whether you should use your vision benefit or your medical insurance when you visit us for your exam.
Vision benefit exams are eye health examinations that include a refraction test, which checks to see if you need glasses or contact lenses. Other screening tests may be done for ocular disease, but the primary purpose of a vision benefit exam is to measure your vision. You should use your vision benefit plan when you are checked to see if you need glasses or contacts, when you only want a limited wellness exam, or when you are not experiencing any ocular disease problems. Our staff optometrists will perform this type of exam for you.
Medical insurance should be used if you have an eye problem or disease, or if you have any medical condition that is known to cause an eye problem. Medical eye exams are performed to diagnose and treat diseases of the eye. These exams are more detailed and complex than a vision benefit examination. An example of ocular disease is diabetes; most medical insurance covers a diabetic retinal exam by an eye specialist (optometrist or ophthalmologist) every year. During this exam the pupils are dilated and the retina is evaluated for any diabetic damage. If damage is found, your medical insurance would be used and would also be used for any additional visits and treatments if needed.
Please be sure to let us know the purpose of your visit when you schedule your appointment, to lessen the chance of confusion about whether your vision benefit plan or your medical insurance is the correct billing choice for your visit.
Vision Insurance and Manged Care Coverage
Insurance
We accept many routine vision and medical eye insurances. We will make every effort, with your assistance, to determine your insurance eligibility and benefits before you come in for your appointment.
Routine vision insurances accepted:
- Davis
- EyeMed
- Hudson Health Plan
- Affinity
- Superior Vision
- Wellcare
- Medicaid
- GHI Federal
- Aetna
- Block Vision
- and others
Payments Accepted:
- VISA
- Mastercard
- American Express
- Debit cards
- Care Credit
