Insurance Details for Patients with Both Medical and Vision Coverage:

Your vision insurance is intended to provide you with basic or routine eye exams for nearsightedness, farsightedness, astigmatism, and presbyopia. Vision plans may also allow for eyeglasses and contact lens materials. Vision exams do not cover for management or treatment of medical problems. If you are being evaluated for medical reasons (diabetes, cataracts, glaucoma suspect, double vision, etc.), you are being provided with medical care. Therefore, we will file a claim with your medical insurance for visits related to medical complaints and problems.
 

The purpose of your visit, along with your exam findings, will determine the way your insurance is billed. Sometimes this may not be obvious until after your eye doctor sees you. You may still use your vision plan benefits for eyeglasses and contact lenses, even if your exam is billed under your medical insurance. Also, for patients with medical eye problems, you do not need vision insurance to receive a comprehensive eye exam as part of your medical care. We understand the distinction between medical and vision plans is often confusing and will work with your insurance to minimize out-of-pocket expenses. Please feel free to call our insurance department at (717) 234-2413 with any questions.