FAQs

Q?

WHAT INSURANCES DO YOU ACCEPT?

A.

  • Connecticare
  • Aetna
  • Anthem Blue cross /Blue shield (& Empire)
  • Cigna
  • United Health Care
  • Oxford

VISION PLANS :

  • VSP

Q?

HOW DO I KNOW WHAT MY INSURANCE COVERS?

A.

When you schedule your appointment, we ask for both your medical and vision insurance information. If they are plans we accept, we will contact your insurance carriers to determine your eligibility, benefits, and provide you with your estimated out of pocket expenses. If you are not covered for whatever reason, we will let you know. Please, understand that determining your insurance coverage takes time and often requires phone calls to the insurance carriers, so you will need to provide to provide us with your insurance information, and other personal information prior to your visit. You can fill out the form on the website located in the Services Tab and email it to us, or call and let provide us your insurance information.

Q?

MEDICAL VS. VISION INSURANCE. WHAT IS THE DIFFERENCE?

A.

Medical insurances cover you when there is a medical issue with your eyes. For example: floaters, red eyes, pain, discomfort, or a medical reason that would be diagnosed by your doctor and that you may not be aware of: glaucoma, cataracts, amblyopia, eye turns, etc..

Vision plans such as VSP are additional insurance plans that your employer may offer you. Vision plans areĀ for routine eye care when there are no medical issues that need to be addressed, such as your annual exam for glasses or contacts. There plans have coverage for the basic eye exam services (usually a co-pay or discounted fee), as well as a benefit for new glasses or contact lenses. These plans do not pay in full for your "materials," but will give you a discount on the usually and customary fee.

Q?

I JUST NEED AN EXAM FOR NEW GLASSES AND CONTACTS, WHY DO YOU NEED BOTH MY MEDICAL AND VISION INSURANCE INFORMATION?

A.

There are instances when something is discovered during a "routine" eye exam that requires either treatment or further testing. For example, glaucoma and diabetes often have no symptoms and are detected during a routine exam. Certain symptoms require further testing and evaluations which will not be covered by vision plans; we would use your medical insurance.

Another example is when a patient comes to us because they are not comfortable with their contact lenses and wish to try different lenses. If the problem is truly due to the contact lens, then refitting the patient into new lens should solve the problem and the visit will be covered under their vision plan. However, if the reason for the discomfort is an underlying corneal problem, then treatment is needed and the medical insurance would be used.

Medical insurances covers medical issues. Vision plans are a wellness benefits and will cover routine "healthy" eye visits. We do our best to use the appropriate insurance when needed and will do everything we can to minimize your out of pocket expenses. You might even use both, in some instances.