Vision Insurance – (VSP, Spectera), . ---This type of insurance 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 – (Blue Cross/Blue Shield, Medicare, Aetna, etc.) This type of insurance 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.
Some insurance companies will have plans that cover routine vision exams through the medical benefits and some insurance companies will cover routine vision exams through a separate discount policy like VSP or Spectera.
Although the examination that you receive may 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
Hill Country Eye Center provides routine, medical and surgical care of the eyes. Please call our office if you have questions regarding insurance coverage.
What is the difference between Vision Insurance and Medical Insurance for an eye care visit?