On the other hand, a Medical Insurance is used simply when there is a medical reason to look at your eyes. An emergency visit, or one focused on a specific eye problem, would be submitted to medical insurance. Some examples of a medical visit are: eye infection, floaters, eyelids styes, dry eyes, glaucoma treatment, loss of vision, foreign object removal etc.
Medical Insurances are also used to pay towards a comprehensive eye exam when there an existing medical condition that affect the eyes example diabetes, cataracts, or any of the previously listed reasons. During each of these above listed cases, insurances require us to submit claims to a patient’s medical insurance, not vision insurance.
To help illustrate the difference better, if a patient came to our office for a routine eye exam but during the exam we discover an underlying medical condition, that visit should be billed under a Medical Exam. The refraction portion of the exam goes to the Vision Insurance.
We understand these insurance differences can be confusing, but fortunately for our patients we are experts at this!
If you have both medical and vision insurance plans, please call us today! As per insurance guidelines, our office can help understand your benefits to minimize your out-of-pocket costs.
Advanced Eye Clinic takes the following Medical Insurances below:
· Blue Cross Blue Shield