Payment Options

Routine Eye Exams vs. Medical Eye Exams

Routine Eye Exam

Routine eye exam coverage is designed to pay toward an eye exam that looks for but finds no medical problems.

VSHow are they different?

Medical Eye Exam

Medical insurance pays toward eye exams that are medical in nature. Examples of medical diagnoses include:

• Cataract
• Dry eyes
• Floaters
• Eyelid stye
• Loss of vision
• Eye infection
• Glaucoma
• Diabetes

When there is a medical diagnosis present such as diabetes, cataracts, glaucoma, macular degeneration or other examples listed above, we are required to bill the exam to your medical insurance as the exam does not qualify as a routine exam under your vision plan.

Unfortunately, medical insurance does not cover the testing needed to determine your eyeglasses prescription, also known as refraction. As a result, you will have a fee for the refraction portion of your exam. You can still use your vision plan benefits to purchase glasses and/or contact lenses at our office and we are happy to help you use your benefits for materials.

Please call the number on the back of your insurance card if you have specific questions about your coverage.