Fees and Insurance
We pride ourselves on a high standard of vision and eye care for our patients. Due to vision plan floccinaucinihilipilification of eye exams performed by optometrists, we are not able to accept most discount vision plans.
We are out of network providers for most vision plans. We will provide all documentation and invoices so patients can submit claims for reimbursement to any vision plan they are a member of.
We accept most medical insurance plans including Traditional Medicare. We do not participate with any Medicare Advantage plans, sometimes called “Part C” . The refraction portion of the exam (determining your lens prescription) is not covered by most medical insurance plans, so you will be charged for the refraction. You will also be charged your copay and any portion of your medical insurance deductible that has not been met. Following claim submission, any overcharged fees will be refunded to the patient.
If you do not have insurance that we participate with, you should not feel that an exam is not available to you. Our self pay fees for eye exams are very affordable and should not stand as a barrier to obtaining a quality eye health evaluation and eyeglass prescription. There are many busy optometric practices across the country that do not participate with any vision insurance or medical insurance plans for eye care. If your plan is one with which we do not participate, we will provide documentation needed to utilize your benefits on an out-of-network basis. If you have any questions about your insurance and our fee schedule, please call our office for more details.
A copay is a portion of the exam fee, determined by a patient’s insurance coverage, as the patient’s responsibility and must be paid before the exam begins. Though a patient may pay a percentage of their salary for health benefits, this fee is required by the insurance company to be paid by the patient to the doctor, before any other benefits will be paid out. By law copays cannot be waived.
A deductible is the amount that a patient must pay to a provider before benefits will be paid by the insurance company. Once the deductible has been met a patient no longer has any out of pocket medical expenses. For example, If someone has a medical plan with a $500 deductible, the patient must pay the first $500 in charges before the insurance company will pay out the rest of the benefit.