We are providers for medically based eyecare for most of the plans listed below. In addition, several of the medical insurance carriers also cover “routine” eyecare.
Some plans include “Routine” eyecare coverage and material reimbursement benefits. Please call our office or fill out the form below so that we can check to see if your plan includes routine eyecare.
Medicare – Medicare will not cover a “Routine” eye examination. They will however pay for an eye examination or office visit if there is an underlying medical condition such as: glaucoma; cataracts; eye infections; etc. Please note that Medicare will only pay 80 percent of the allowable amount that is billed. We will file your supplemental insurance for you if you have provided this information to us. If you do not have supplemental insurance, you will be responsible for the 20 percent that is not covered. Eye refractions (the determination of a glasses or contact lens prescription) are not a covered expense by Medicare. This portion is the patient’s responsibility. Please be aware that Medicare patients have an annual deductible of $147 in 2015.
Vision Service Plan (VSP) & Advantica – VSP and Advantica are vision plans that cover eye examinations, glasses, and contact lenses. These plans are vision riders for many medical insurance policies such as: Aetna, Blue Cross Blue Shield, Cigna, and United Healthcare. Many patients do not have a card for this policy even if they are covered for routine eyecare. Please call our office or fill out the form below so that we can check to see what your benefit is. *Please note that for VSP our office will need the POLICY HOLDER’S social security number OR the last 4 digits of their social security number to obtain your benefit information. This is not our policy but VSP’s.
Please keep us in mind for your medical needs as well as your vision needs. Our doctors are participating providers for the above listed medical insurances for medically related office visits.
If you are planning to use your insurance benefits, please be familiar with the coverage of your policy. One of the easiest ways to learn about your coverage is to speak with a representative from your insurance company. Below is a list of questions you may want to ask when calling:
- Do I have “Routine” eye care coverage?
- How often am I covered for an eye examination?
- What are my co-pay and deductible amounts?
- Is Ross Eyecare Group listed on my insurance as a “Participating Provider”?
- Do I have any benefits to use towards glasses and/or contact lenses?
It is important to know that the information provided by your insurance company DOES NOT guarantee payment, therefore you, the patient are ultimately responsible for all services rendered.
Our Insurance Coordinator is here to provide you with answers to questions that you may have. Please do not hesitate to call or email.
Thanks for submitting your information.
We will call you with any questions.