How fees work
Insurance we work with
A routine eye exam is billed to a vision plan. A visit for an eye problem, an eye disease check or a follow-up, including myopia visits, is billed to medical insurance. Many visits mix both, and the office explains which part goes where. Medicare does not cover routine eye exams or glasses, with a few exceptions.
Vision plans, for routine exams, glasses and contact lenses
Medical plans, for eye health visits and follow-ups
Medicare, within its limits for eye care
If you pay yourself
Self-pay covers the exam and the services you ask for. Fitting fees, myopia control lenses and drops, premium lens options and replacement lenses are billed separately. We tell you what each part costs before you decide, and we do not quote a price over the phone as a promise.
The exam
Contact lens fittings and follow-ups
Lenses, drops and coatings
Receipts for reimbursement
Ask for an itemized receipt and send it to your plan. The plan decides what it reimburses.
An estimate in advance
If you pay without insurance, we give you a written estimate before your visit. Ask when you book.
Checking your benefits
Before your visit we check your benefits where we can and tell you what we find. Please confirm with your plan too, because the plan has the final say.
What the first visit includes
A myopia evaluation takes about an hour and a quarter and covers the measurements, an eye health check and the options. The exam is billed as above, and anything you pay yourself is agreed in writing first.
Which visit goes where
Vision plan, medical insurance or you
The usual pattern for the visits in a myopia plan. Your plan decides what it pays, and we check before you come.
| Visit or product | Medical insurance | You pay | Vision plan |
|---|---|---|---|
| Routine yearly eye exam | Medical insuranceNot usually | You payAny copay your plan leaves | Vision planUsually |
| Myopia evaluation and follow-ups | Medical insuranceOften, as an eye health visit | You payCopay or deductible | Vision planSometimes, for the routine part |
| Eye problem, eye disease or urgent visit | Medical insuranceUsually | You payCopay or deductible | Vision planNo |
| Glasses and contact lenses | Medical insuranceNo | You payAnything above the benefit | Vision planOften, up to the eyewear benefit |
| Myopia control lenses and drops | Medical insuranceRarely | You payUsually, with a written estimate | Vision planRarely |
Your prescription is yours
Your prescription is yours. We give you a copy after your exam and fitting, and you can fill it anywhere. Fill it anywhere.
Questions about a bill?
Call either office before your visit and we will go through it with you.