Medical Insurance and Vision Discount Plans

What is the difference?

We have patients that have both VISION DISCOUNT PLANS and MEDICAL INSURANCE. They are very different in terms of the services they cover, and it's important for our patients to understand these differences. It is also important for our patients to recognize that your medical insurance provider will contract their "vision benefits" through theses 3rd party vision companies, often unbeknownst to you.

We are in-network for many local and regional medical insurance plans, but we are out-of-network for all major vision benefit plans including Davis Vision, EyeMed, VSP, Spectera, Blue View Vision, Superior and NVA.***

Medical Insurance covers office visits and/or procedures for medical conditions that affect the eyes. When a medical eye or health condition is present (such as diabetes, cataracts, dry eye, floaters, etc.) we can file the visit with your major medical insurance and the copays and deductibles for that insurance will apply, as well as any non-covered service fees. We make every effort to be on most major medical insurance plans for your convenience and we will file those claims for you.

MEDICAL INSURANCE PLANS WE PARTICIPATE WITH*:

AETNA MEDICARE
BLUECROSS BLUESHIELD
HUMANA
MEDICARE
MVP COMMERCIAL PLANS (excludes MVP Medicaid, Child Health Plus, Essentials Plans, HARP)
NYSHIP
UNITED HEALTHCARE

We are out-of-network with all Medicaid Plans.

*There are often many different plans within each insurance company. As a courtesy, we will attempt to verify your coverage prior to your appointment - but ultimately it is the responsibility of the insured to verify this information to avoid any unexpected charges.

Don't see your insurance provider listed?

In the event that we are not in network for your insurance company or your vision plan, we would still be happy to see you and can provide an itemized receipt so that you may submit it to your insurance for reimbursement.

***Vision Discount Plans (Davis Vision, EyeMed, VSP, Spectera, Blue View Vision, Superior, NVA)

These plans discount an office visit to determine the prescription for your glasses and/or contact lenses and provide a basic eye health check. They provide discounts some materials you may purchase including glasses and/or contact lenses.

***We are out-of-network for all vision discount plans, however we can provide you with an itemized receipt for you to submit for reimbursement from your vision plan.***