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  • Writer's pictureTaylor Eye Care

About Your Insurance

When you visit your primary care physician, there's no question about providing your medical insurance information. Most people have this ready and are aware of their copays and deductibles. However, more often than not, attending your eye exam might not prompt you to remember to bring your medical insurance card. Let me explain why you SHOULD bring all your insurance cards and how this could benefit you.

Sometimes, your medical insurance must be billed for your eye exam! The medical and visual parts of your eye exam are actually separate and sometimes require special billing codes that are determined by the provider.

Fortunately, our team is well informed about which visits require a medical diagnosis or a traditional routine vision-only diagnosis. For healthy routine eye exams and refraction, your vision plan can be billed! Your vision plan typically contributes to your exam and your materials such as glasses or contact lenses. If your routine eye exam shows your optometrist that you have cataracts (even just the beginnings), glaucoma, macular degeneration, diabetic retinopathy, dry eye, floaters, or a number of eye-related complications, you can expect part of your visit to be billed to your medical insurance. I mention that part of your exam will be billed as medical because most medical insurance plans don't recognize the visual codes from the refractive part of your exam. Therefore, patients will be responsible for the costs associated with these codes.

When you come to Taylor Eye Care for your eye exam, we are always going to do a comprehensive eye exam. That means that we're not only checking your vision to see if you need glasses or contacts, but we're also checking the eye health which goes beyond vision.

With all of that said, please bring all insurance cards to your eye exam! If your optometrist finds an eye-related health issue, that can sometimes be billed to your medical insurance plan. Deductibles and copays still apply as usual. We will always do what we can to make your out-of-pocket expenses as low as possible. Our main priorities are helping patients see and ensuring patients have optimal eye health. If you have questions about what insurance plans we accept, please see the insurance tab on our website under "services" or give our office a call!

Talk again soon,

Morgan DiMaggio, CPOA

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