Therefore, we will file a claim with your medical insurance for visits related to medical complaints and problems. Vision Plan benefits do not provide coverage for medical care. If you are being evaluated for a medical reason/complaint (corneal disorders, diabetes, cataracts, glaucoma suspect, double vision, doctor’s referral, etc.), you are being provided with medical care. Your vision benefit is intended to provide you with a “routine” vision eye exam. Below are some general guidelines that we follow.įor Patients with BOTH Medical and Vision Coverage Our certified billers will determine the appropriate plan (medical or vision) to file your claim, based on the results of your exam and the requirements of insurance payors. However, optometrists also provide routine vision exams for people with no eye disorders. We want to make this more clear!Īn optometrist is a medical doctor (just like your family doctor or cardiologist) and provides very comprehensive, medical eye exams. The problem is that it can be confusing and sometimes challenging to understand it all. Many of our patients are fortunate to have excellent insurance. Please contact us for more information about your plan and receiving care at Advanced Eyecare Center. We accept many plans and coverage varies widely. Glasses and contact lens prescriptions may be updated. The doctor screens the eyes for disease and finds no medical problems. Routine Eye Examinations: A “routine eye exam” takes place when you come for an eye examination without any medical eye problem, and there are no symptoms except for visual changes that can be corrected by eyeglasses or contact lenses. While health insurance protects you against financial loss due to unexpected eye injuries or disease, vision insurance is a wellness benefit designed to provide routine eye care, prescription eyewear, and other vision-related services at a reduced cost.Īdditional resources you can use to finance your eye care include A vision insurance policy is not the same as health insurance.
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