Understanding Your Eye Care Coverage

Insurance plans typically separate eye care into two categories: medical and vision.

Medical insurance usually covers eye health issues, such as infections, injuries, or diseases.

Vision plans typically cover routine eye exams and prescriptions for glasses or contact lenses.

Sometimes it’s not easy to tell whether your concern is medical or vision-related—that’s okay. Our office will help determine the appropriate billing based on your visit.

If your visit is for a medical issue, we will file a claim with your medical insurance.

If your visit is for a routine eye exam (glasses or contacts), it is considered a vision service and is only covered if you have a vision plan or rider.

Insurance&Payment Information

Your insurance company ultimately decides what services are covered. While we verify your benefits in advance, final coverage decisions are made by your insurance provider.

We will submit claims for covered procedures and office visits on your behalf.

Co-pays are due at the time of service.

A $20 fee applies if co-pays are billed instead of paid at the visit.

For self-pay services, full payment is required at the time of your appointment.

If needed, please speak with our office manager about payment arrangements.

Referrals&Plan Requirements

To ensure your visit is covered:

You must follow your insurance plan’s requirements.

If your plan requires a referral, it must be provided before your appointment.

If a required referral is not available at the time of your visit, you will need to either:

Pay for the visit at that time, or

Reschedule your appointment.