A Word About Insurance

The information below is a brief and general overview of how medical and vision plans generally work.

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Eye Exams

Keeping vision and eyes healthy is an important part of overall health for both children and adults. However, insurance coverage for eye exams can be a confusing topic. How often you should see an eye doctor for various medical eye conditions is at the discretion of your doctor following standard guidelines.

One important note:

It is your responsibility to understand how your plan works and what is covered. If you have questions about your plan, call the number on your insurance card. By understanding how your plan(s) work, your office visits will be more pleasant and productive.

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A Few Examples of What Insurance Covers

Medical Plan

  • Dry Eyes

  • Sudden Vision Loss

  • Eye Pain

  • Double vision

  • Pink eye

  • Spots/floaters

  • Eye injury and/or foreign body

  • Diabetic eye exams

  • Lazy eye

  • Stye

  • Ocular migraines

  • Headaches

  • Ocular allergies

  • Contact lens complications including ulcers

  • Glaucoma and cataract diagnosis, co-management, and referrals

Vision Plan

  • Myopia (nearsighted)

  • Hyperopia (farsighted)

  • Presbyopia (difficulty focusing)

  • Astigmatism

  • Computer eye strain

  • Lenses

  • Frames

  • Contact lenses


How Insurance Really Works.

Will Flannery MD, an ophthalmologist in Oregon under his moniker Dr. Glaucomflecken entertains hundreds of thousands of followers on TikTok (where this video is from). Full credit to Dr. Flannery.
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