If your exam is completely "routine" then we will file under your vision plan (VSP, EyeMed, Spectera, etc.). However, based on your symptoms, the reason for your visit, and the results from your exam, it may be more appropriate to bill your medical insurance (Aetna, BC/BS, Medicare, etc) since vision plans only cover very basic testing. This is why we ask for both vision and medical insurance at the time of the appointment. Although we obviously won't know the outcome of the exam before it's completed, insurance restrictions and rules often dictate whether medical or vision should be filed. While we don't always like the rules, we do have to follow them! :)
Insurance Accepted
MEDICAL PLANS ACCEPTED:
Aetna, BCBS*, Cigna*, Humana, Medicare Part B, PHCS, Tricare (Standard Only), United Healthcare Medical**.
*We are out of network providers for Kaiser Health, Wellcare, BCBS Pathway X, and Cigna HealthSpring, but will provide a 15% discount to all examinations, fees, and 20% for materials (excluding contact lens materials) to all Kaiser Health, Wellcare, BCBS Pathway X, and Cigna Healthspring members. Members may the submit receipts directly to Kaiser, Wellcare, or Cigna HealthSpring for reimbursement. You must present membership at the time of the appointment. **We are out of network with United Healthcare. Many times out of network UHC benefits are similar to in network, so we can file as a courtesy. However, if UHC denies payment, you will be responsible for all fees determined by UHC. |
Want to know the difference between health insurance and vision insurance? Watch the video below!
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VISION PLANS ACCEPTED:
Vision Service Plan (VSP), Eyemed*, United Healthcare Vision (Spectera), Vision Benefits of America, and National Vision Administrators (NVA).
*We are out of network providers for Davis Vision, Avesis, and Eyemed Advantage, but will provide a 15% discount to all examinations and fees, and 20% for materials (excluding contact lens materials) to all Davis Vision, Avesis, and Eyemed Advantage members. Members may the submit receipts directly to Davis, Avesis, and Eyemed for reimbursement. You must present membership at the time of the appointment.
*We are out of network providers for Davis Vision, Avesis, and Eyemed Advantage, but will provide a 15% discount to all examinations and fees, and 20% for materials (excluding contact lens materials) to all Davis Vision, Avesis, and Eyemed Advantage members. Members may the submit receipts directly to Davis, Avesis, and Eyemed for reimbursement. You must present membership at the time of the appointment.
Click here for your Vision Service Plan benefits. www.vsp.com
Click here for your EyeMed vision benefits. www.eyemedvisioncare.com
Click here for your Vision Benefits of America vision benefits. www.visionbenefits.com