We often have patients that have both vision and medical insurance. They are very different in terms of the services they cover and it is important for our patients to understand these differences.
A vision insurance policy is not the same as health insurance. Medical insurance covers medical eye exams designed for when you have a medical problem that affects your eyes, such as eye disease, infection, injury, etc. Vision insurance, on the other hand, is a wellness benefit designed to provide routine eye care, prescription eyewear and other vision-related services at a reduced cost. Vision insurance does not cover the treatment or management of any eye health issues.
There is often no way to know prior to your exam what type of exam you will need or which type of insurance will be the right one to file your claim with. Our doctors will determine the appropriate type of exam and plan (medical or vision) to file your claim, based on the results of your exam. If we accept your vision or medical insurance we will file the claim for you. In the event we do not accept your insurance we will provide you with an itemized receipt that you may submit to your insurance for reimbursement.
Because we provide both medical and routine eye care, we accept a number of insurance plans to help cover the cost depending on your individual needs. Here are just some of the plans that we accept:
Insurance Plans We Accept
San Luis Obispo
MEDICAL INSURANCE ACCEPTED: MEDICARE PPO PLANS, AETNA PPO, UNITED HEALTHCARE PPO, CIGNA PPO, BLUESHIELD OF CA PPO, CENCAL
VISION INSURANCES ACCEPTED (Additionally, we have experience billing VSP):
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- MES
- EYEMED- FOR PATIENTS WHO WERE UNDER MES PREVIOUSLY- WILL NEED TO VERIFY COVERAGE ON AN INDIVIDUAL BASIS
- CENCAL
- UNITED HEALTHCARE VISION/SPECTERA
Santa Maria
MEDICAL INSURANCE ACCEPTED: MEDICARE PPO PLANS, AETNA PPO, UNITED HEALTHCARE PPO, CIGNA PPO, BLUESHIELD OF CA PPO, CENCAL
VISION INSURANCES ACCEPTED (Additionally, we have experience billing VSP):
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-
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- CENCAL
- MES
- EYEMED- FOR PATIENTS WHO WERE UNDER MES PREVIOUSLY- WILL NEED TO VERIFY COVERAGE ON AN INDIVIDUAL BASIS
- UNITED HEALTHCARE VISION/SPECTERA
- TRICARE
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