How fees work
Insurance we work with
A routine eye exam is billed to a vision plan. A visit for an eye problem, an eye disease check or a follow-up is billed to medical insurance. Many visits mix both, and we explain which part goes where. Medicare does not cover routine eye exams or glasses, with a few exceptions. We bill each resident's own plan.
Vision plans, for routine exams and glasses
Medical insurance, for eye health visits and follow-ups
Medicare, within its limits for eye care
If you pay yourself
Self-pay covers the exam and the services you ask for. Glasses, lens options, repairs and any extra visit are billed separately, and we tell you what each costs before you decide. A visit to some addresses may carry a travel charge, which we also tell you before you book.
The exam
Glasses and lens options
Repairs and second visits
Receipts for reimbursement
Ask for an itemized receipt and send it to your plan. The plan decides what it reimburses.
An estimate in advance
If you pay without insurance, you have the right to a good faith estimate in writing before your visit. If a bill is $400 or more above that estimate, you can dispute it. Ask for the estimate when you book.
Checking your benefits
Before a visit we check benefits where we can and tell you what we find. Please confirm with the plan too, because the plan has the final say. For a facility visit day, we check each resident's cards before we arrive.
What the first visit includes
The first visit is a full exam of 45 to 60 minutes, with the results explained and a written summary. Glasses are ordered at the visit and fitted at a short second visit.
Vision and glasses prescription
Eye pressure and eye health check
Written summary and prescription copy
Your prescription is yours
Your prescription is yours. We give you a copy after your exam and fitting, and you can fill it anywhere.
Questions about a bill?
Call the coordinator before your visit and we will go through it with you.