Insurance Information

VitalEyes works with many insurance carriers and payment plans.

To see if we work with your insurance carrier or vision care plan, please call our office for assistance. Our friendly and informed staff will be happy to answer any questions you may have.

What is the difference between my Vision Care Plan and Medical Insurance?

Vision Coverage

Vision Care Plans such as Eyemed and VSP cover “routine” examinations. Routine examinations lead to routine diagnoses such as myopia, hyperopia and astigmatism. The refraction (determination of the eyeglass prescription) is included in this coverage. Occasionally, this coverage will include a contact lens evaluation in addition to the routine examination but typically, it only designates a discount for this additional service. These plans generally will cover a portion of a pair of eyeglasses or supply of contact lenses. Most plans do not cover 100% of expenses, and thus, you should expect some out-of-pocket costs. There may be co-pays, deductibles or a percentage of costs that you will pay out-of-pocket as required by your insurance policy.

Medical Insurance

When an eye examination leads to diagnoses that are not routine such as dry eye, allergic conjunctivitis, or glaucoma, the eye examination is no longer routine and has become a medical eye examination. These exams will be billed to the patient’s medical insurance. Believe it or not, the refraction is not typically covered by medical insurances once the eye examination becomes medical in nature. When this is the case, the patient is responsible for the refraction fee. Please note, eye examinations for patients with diabetes are always billed medically whether or not there is any sign of retinopathy.