Insurance for Eye Care – Medical and Vision Plans
There are many types of health and vision insurance that can help pay for your eye care services and products; however, our practice only accepts Vision Service Plan, Colorado health First and Medicare for routine eye exams.
Vision care plans only cover routine vision exams including refraction (testing for prescriptions) and a basic eye health screening. They do NOT cover diagnoses, management, or treatment of eye disease.
Medical insurance must be used for a patient’s eye care visit when the doctor determines a medical diagnosis as the cause of a patient’s reason for their visit. Examples include blurred vision, eye pain, eye infections, foreign body removal, sudden onset of flashes and floaters, etc. It also covers visits and additional testing to monitor progressive eye conditions and to determine if a patient’s general health issues or medications may be affecting their eyes. Refraction is typically NOT covered by medical insurance.
If you have both types of insurance plans it may be necessary for us to bill some services to your medical insurance and some services to your vision insurance. Insurance carriers set these rules and our office is obligated to follow them. We will use coordination of benefits to do this properly and to minimize your out-of-pocket expenses. Co-pays, deductibles, and non-covered services are the responsibility of the patient.
For patients without insurance or for whom our office is out-of-network we will provide an itemized receipt that can be filed to the carrier or submitted to HSA for reimbursement.
I have read and agree to this policy and authorize Envision Boulder to file my insurance by the above guidelines.