Insurance

We accept the following insurance plans:  VSP, EyeMed (except Select and Insight plans) Amerihealth, Aetna, Cigna, Horizon/BCBS, Oxford, GHI, Qualcare, Tricare (Out of Network), United, and Medicare.

Medical vs Vision Plans

There are two types of health insurance that will help pay for your eye care services and products. You may have both and our practice accepts both:

  1. Vision care plans (such as VSP and EyeMed)
  2. Medical insurance (such as United and Medicare).
  • Vision care plans only cover routine vision exams along with eyeglasses and contact lenses. Vision plans only cover a basic screening for eye disease. They do not cover diagnosis, management or treatment of eye diseases.
  • Medical insurance must be used if you have any eye health problem or systemic health problem that has ocular complications
  • If you have both types of insurance plans it may be necessary for us to bill some services to one plan and other services to the other. We will use coordination of benefits to do this properly and to minimize your out-of-pocket expense.
  • We will bill your insurance plan for services if we are a participating provider for that plan. We will try to obtain advanced authorization of your insurance benefits so we can tell you what is covered. If some fees are not paid by your plan, we will bill you for any unpaid deductibles, co-pays or non-covered services as allowed by the insurance contract.

 Contact Lens Exams and Fittings

A yearly contact lens evaluation is necessary to ensure proper vision and ocular health of anyone who wears contact lenses.  A contact lens is a medical device that if used improperly  can cause infections or permanent loss of vision.  Most insurance companies consider wearing contact lenses to be elective and therefore generally to do not cover the yearly evaluation fee or the fitting and instruction of a new contact lens wearer.  You may want to call your insurance company and inquire about contact lens evaluation and fitting coverage prior to your eye exam.