Vision Insurance & Medical Insurance Billing

We often have patients that have both vision insurance (for example, VSP or EyeMed) and medical insurance (for example, BCBS, Aetna, UHC, or Medicare). They are very different in terms of the services they cover, and it’s important for our patients to understand these differences.

Vision insurance is designed to cover determining a prescription for glasses, to help pay for glasses or contact lenses, and to cover a yearly routine evaluation of the health of the eyes in a healthy patient that has no problems or symptoms. It does not usually cover medical conditions, injuries, or treatments.

Medical insurance is designed to cover medical problems, including those that affect your eyes such as glaucoma, cataracts, macular degeneration, foreign body removal and dry eyes. Medical insurance does not typically cover routine services or examinations for glasses, or routine vision problems such as nearsightedness, farsightedness, and astigmatism. Those are typically only covered by your vision insurance.

If a medical diagnosis or medical condition is present that affects your eyes, such as high blood pressure, high cholesterol, or diabetes, or you have an eye disease or eye problem such as an infection (pink eye), dry eyes, allergy, or cataracts, we must file the claim with your medical insurance, and the co-pays and deductibles for that insurance will apply. Your vision plan does not cover these kinds of problems. These billing rules are determined by insurance companies, and we must comply with them.

There is often no way to know prior to your examination which type of insurance should be filed. We make every effort to join as many insurance panels, both medical and vision, as we can for your convenience. If we are on your insurance company’s panel we will file those claims for you. If we do not accept your medical or vision insurance, we will provide you with an itemized receipt so that you can file a claim for reimbursement with your insurance company. If you have any questions, please let us know.

I understand the information above regarding the difference between vision and medical insurance. I authorize (Practice Name) to file my claim with the appropriate insurance based on the reason for my visit and the results of my examination.

Our Location

Our Address

10250 Sawmill Parkway
Powell, OH 43065

Contact Information

Phone: 614-789-6789
Email: dopkisseyecare@gmail.com

Hours of Operation

Monday: 7:00 AM – 4:00 PM
Tuesday: 10:00 AM – 7:00 PM
Wednesday: 8:00 AM – 3:00 PM
Thursday: 9:00 AM – 5:00 PM
Friday: 7:00 AM – 3:00 PM
Saturday: By Appointment Only
Sunday: Closed

We understand plans can change. If you need to cancel, please let us know as early as possible, as same-day cancellations and no-shows are subject to a $35 fee.

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