Advanced Eyecare Center offers our patient form(s) online so you can complete it in the convenience of your own home or office.
Many of our patients are fortunate to have excellent insurance. The problem is that it can be confusing and sometimes challenging to understand it all. We want to make this more clear!
An optometrist is a medical doctor (just like your family doctor or cardiologist) and provides very comprehensive, medical eye exams. However, optometrists also provide routine vision exams for people with no eye disorders.
Our certified billers will determine the appropriate plan (medical or vision) to file your claim, based on the results of your exam and the requirements of insurance payors. Below are some general guidelines that we follow.
For Patients with BOTH Medical and Vision Coverage
Your vision benefit is intended to provide you with a “routine” vision eye exam. If you are being evaluated for a medical reason/complaint (corneal disorders, diabetes, cataracts, glaucoma suspect, double vision, doctor’s referral, etc.), you are being provided with medical care. Vision Plan benefits do not provide coverage for medical care. Therefore, we will file a claim with your medical insurance for visits related to medical complaints and problems. (We will inform you IF both plans can be used on the same day.) Medical evaluations take more time. And doctors are required to bill a medical provider for this type of service.
For Patients without Vision Coverage
If you are being seen for a routine eye exam and do not have vision coverage, your medical insurance will not pay for the exam. However, if you have a medical problem (corneal disorders, diabetes, a lazy eye, cataracts, glaucoma suspect, double vision, etc.), your visit is considered a medical problem and can be billed to your medical plan.
When your visit is for a routine eye evaluation, we will follow your plan’s guidelines collecting applicable copay and/or co-insurance at the time of service.
Your copay today is due at time of service.