Medical insurance and vision benefits: WHAT'S THE DIFFERENCE

We have patients that have both VISION BENEFITS 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. 

We are in-network for many local and regional medical insurance plans and 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, eye emergencies, 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. 

MEDICAL INSURANCE PLANS WE PARTICIPATE WITH*:

• AETNA  
• BLUECROSS BLUESHIELD
• MEDICARE
• MVP
• NYSHIP
• UNITED HEALTHCARE

We make every effort to be on most major medical insurance plans for your convenience and we will file those claims for you.  

*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 be happy to provide you with an itemized receipt so that you may file with your carrier for reimbursement. If you have any questions regarding this topic, please let us know. 

Vision Benefit 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 on the materials you purchase including frames, lenses and/or contact lenses. We are out-of-network for all vision discount plans, however we can assist you in submitting an out-of-network claim for reimbursement from your vision plan.