Understanding the difference between your medical and vision plan coverages:
Patients often have both vision care plans and medical health insurance plans.It is important to understand the difference. Vision care plans do not cover the diagnosis of a medical eye condition (e.g. headaches, red eye etc), just as medical health insurance plans do not cover routine wellness eye exams (blurry vision only). We have prepared this form to help you understand why your visit is billed to your medical health insurance plan or vision care plan.
Vision Care Plan
- Covers eye wellness exam only; i.e. my vision is blurry only
- May help pay for glasses or contact lenses.
Medical Health Insurance Plan
Medical Health Insurance is billed for visits regarding ocular health disorders or symptoms related to eye health problems, including existing overall health conditions that can affect your eyes.
Examples of these conditions include:
- Sudden loss of vision
- Double vision
- Dry eye – Itching, Burning, and Tearing
- Flashes and/or floaters
- Eye infections
- Macular degeneration
- Referral from outside physicians
*The purpose of your visit will determine which plan will be billed. If your condition falls under the category of a “medical eye examination” instead of “routine wellness eye examination”, you will be responsible for any co-pays and/or deductibles according to your medical health insurance plan.*