Insurance

DOES YOUR INSURANCE HAVE YOU COVERED?

Insurance is a great way to make sure that you and your family can get the eye care you need without breaking the bank. At Professional VisionCare we accept many major medical and vision insurance plans.

Not sure what's covered by your insurance? Our eye care team would be happy to help you figure it out. Come see us today!

​​​​​​​Annual eye exams, prescription eyewear, and specialty eye care services can all add up quickly, hitting your wallet especially hard if you have a large family. Fortunately, vision and medical insurance are often effective ways of cushioning the blow a bit.

Medical Insurance vs. Vision Insurance

Vision insurance and medical insurance are not the same. Medical insurance plans protect you against paying too much in case of unexpected eye injuries or disease. Vision insurance, on the other hand, is designed to offset the cost of routine eye care for ongoing eye health, as well as prescription glasses or contacts and other vision-related services.

Have questions about whether your medical or vision insurance covers you with us? Contact our office, and we can help you figure it out.

Have questions about vision insurance and eye exams?

Want to do some research on your own? Here are the questions you should ask of your insurance provider to know how best to take advantage of your insurance plan. We’ve provided some links and other contact information below for popular providers.

1. Is a pre-authorization necessary in order for your eye examination and materials to be covered?

   1. If so, what is the authorization number?

   2. Is there a specialized form & are you responsible for bringing it to your appointment?

   3. What is your coverage for contacts, frames, and special lens materials?

2. Is your policy active, are you under a waiting period, or has your coverage expired?

3. Is your coverage every 12 or 24 months? Does your insurance renew every calendar year, the month of the last service, or from the date of the last service?

4. Will the visit be covered under your vision or health insurance plan? Example: Annual eye exam – covered by vision insurance; eye infection- covered under medical/health insurance. If medical, are we providers for your medical/health insurance?

5. If you are a contact lens wearer, will your insurance cover any portion of the contact lens evaluation, fitting or materials?

6. Do you have a deductible amount for glasses/contacts or specialized optometric treatment? Have you paid toward your deductible yet this year?

7. Do you need a referral from your primary care physician (PCP)?
   
   

What's in Your Vision Insurance Plan
Make the most of your vision insurance plan by understanding your particular vision coverage.

What is Vision Insurance?

Learn about types of plans, coverage, and payment options.

Vision Insurance Programs

For Your Information: Most vision insurance programs will cover the cost of the annual exam and provide a benefit towards contacts or glasses. Contact lens fittings and evaluations are usually not covered, nor are medically necessary office visits. Please verify the limitations of your vision insurance coverage.

​​​​​​​Medical Insurance Programs

For Your Information: Medical insurance plans may cover costs related to a medical condition. They generally cover an eye exam if a medical condition is found. Many medical plans require a deductible be met before the insurance plan will pay. The patient is responsible for payments until the deductible is met.