![]() Our staff is happy to assist you in answering questions about your insurance however we cannot guarantee payment from your insurance plan. Please call our Billing Department to verify that we accept your specific plan or if you do not see your plan listed below. Within some of these health plans, there are certain plans that we are not contracted with. The Family Eye Care Center & Optical Gallery is contracted with most major health plans. In this case, you are responsible for any copayments, deductibles or co-insurance amounts assessed by your medical insurance. there is a medical exam), then your benefits claim will need to go through your medical insurance. Our staff will be happy to review or explain any of these benefits to you. These plans usually also offer a benefit or discount for eyewear and/or contact lenses. Vision plans typically offer a routine eye exam once every 12 months or once every 24 months. You may check your member benefits on the their websites. They deal with both types of insurance every day and will help you with how best to get coverage.The Family Eye Care Center & Optical Gallery currently accepts Vision Service Plan (VSP) and EyeMed. If you’re unsure of whether you should use your vision or medical benefits, ask your eye doctor. Visit the nearest Barnet Dulaney Perkins practice near you or call to schedule an appointment. We encourage everyone to schedule an annual eye exam to catch eye conditions early and keep your eyes healthy. If you are only interested in getting a routine eye exam and refraction benefit from your vision insurance you will need to do both at the same time, on the same day, otherwise you’ll end up paying separately for both. This can be avoided by paying out of pocket for your refraction and prescription. If you need both care for an eye condition as well as a wellness exam with refraction, you might have to make two different appointments because both insurances can legally not be billed for the same encounter. You can get an annual eye exam using your medical insurance, but it would only include examining for eye conditions and would not cover a prescription for any type of corrective lenses. Learn More About Barnet Dulaney Perkins Affordability How Can I use Insurance for my Eye Exam? Only covers materials if you have a Health Savings Account (HSA) or Flexible Spending Arrangement (FSA).īenefit can only be used one time per calendar year or one time every other year.Ĭan be used multiple times throughout the year. Vision InsuranceĬovers routine eye care services like eye exams and refractive services.Ĭovers medical eye care services, such as management of eye diseases.īenefits typically include an allowance toward glasses and/or contact lenses. A vision plan can save you a few hundred dollars each year. Instead of paying full-price at the time, you’re paying a discounted price each month. Refraction is a vision test performed by your eye doctor to check if you need prescription lenses.Ī typical vision plan includes a wellness eye exam, lenses and an allowance for contacts, frames or both. It doesn’t cover the treatment of diagnoses (like cataracts) but does cover the refraction portion and the wellness exam. It’s a supplemental, discounted program you pay into for preventive maintenance, so when it comes time for your eye exam, you have fewer and less expensive out-of-pocket costs. It’s not really insurance so much as it is a benefit. The second is vision - vision insurance is a bit of a misnomer. Though it might dip into eye health, it has no coverage for routine vision services, like an eye exam. The first scenario is medical - medical insurance covers emergency care, surgery and eye conditions like glaucoma or infection. Your glasses are scratched and you need a new pair with an updated prescription.Your 8-year-old accidentally stabs himself in the eye with a pencil.Specifics will be dependent on your providers, but this should help you better distinguish between what’s available to you. Here is some information about the differences between medical and vision insurance and what to use when. It varies based on employer, age and location, and unfortunately, no comprehensive guide exists to navigate it. What are the differences between vision and medical insurance? ![]()
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