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Aetna
Alliant Health Plans
Beech Street
Blue Cross Blue Shield PPO, POS and HMO
Cigna
Eye Care Plan of America (ECPA)
Eye Med
Coventry
Guardian
Humana
Medicare Part B
Multiplan
Principal
Private Health Care System (PHCS)
South Care
Unicare
United Health Care
Vision Care Plan (VCP)
Vision Service Plan (VSP)
If you do not see your insurance listed please call because we routinely update our insurance providers. Please note that certain medical insurances cover routine eye exams.
Know your insurance benefits!
There are many different medical and vision insurances out there. The Medical ones have different coverage for office visits and/or tests, some have deductible, some don't, some cover most of the services with just a co-pay, some have co-insurance, some cover routine eye examination once every year, every two years, or don't cover at all, some have third party vision companies. The Vision ones have different allowances for hardware (glasses, contact lenses), some may or may not have a co-pay for examination, some only give you a discount for certain services.
Here at Mount Vernon Eye Care we strive to provide the best patient care possible, without regards to whether certain tests or procedures are covered by your insurance or not. We would love to, but we can not possibly know all benefits for all insurances out there. We verify your insurance to make sure it is still active, what the co-pay is, and if you have met your deductible, but we can't tell 100% what may or may not be covered. Please contact your insurance to verify conditions of your coverage.
I came in for my yearly eye exam – shouldn’t it be billed to my "vision insurance"?
If you have any medical concerns such as cataracts, intraocular pressure, or dry eyes, symptoms describing a possible medical problem or any similar medical diagnosis, then medical insurance must be billed.
What is the difference between Vision Insurance and Medical Insurance for an eye care visit?
Vision Insurance (VSP, Eyemed) covers routine vision care (i.e. regular eye exams for glasses and contacts) when no medical eye problem or related complaint specifically exists.
Medical Insurance (Aetna, Blue Cross Blue Shield, Medicare, etc.) provides benefits for the treatment of medical problems including medical eye problems. To obtain coverage under medical insurance, a symptom or complaint indicative of eye disease, eye injury, or a chronic medical condition is one of the reasons for your visit or the doctor.
Although the examination that you receive may seem to be the same or similar to previous visits, the reason for the exam and the doctor’s diagnosis dictate how we must bill our patients.
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