Please read below to gain a better understanding of standard insurance company rules that apply to eye examinations. We verify both medical and vision benefits before your appointment for your convenience.

Medical Insurance Guidelines

Many eye examinations are of a medical nature and are required by insurance rules to be filed with your medical insurance. In general, if you have any significant medical history such as diabetes, high blood pressure, thyroid disease or autoimmune disease, your eye exam will be filed to your medical insurance. If you have pre-existing cataracts, glaucoma, retinal disease, or other eye disease, your eye examination will be filed with your medical insurance. If you are taking certain high-risk medications, your eye examination will be filed with your medical insurance If at the time of your exam you have a medical eye complaint such as dry eyes, red eyes, eye pain, eye irritation, or blurry vision due to a medical eye issue, your exam will be filed to your medical insurance.

Vision Plan Guidelines

Only eye exams that do not have a medical complaint or complication are able to be filed to your vision plan. Vision plans provide coverage for routine eye examinations, which are defined as those exams for which the only eye issue is the need for vision correction with glasses or contacts. The analysis, diagnosis, treatment or monitoring of medical eye conditions are specifically not covered by any vision plan.