The Practice

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We Accept the ollowing Insurance:

Vision Plans

• Eyemed
• Blue View Vision
• Humana Vision
• Aetna Vision
• UHC/Spectera Vision
• VBA
• NVA
• Avesis/Gaurdian
• Cigna Vision
• Metlife Vision
• Superior Vision
• VSP Vision
• Davis/Versant Vision

• Medicare
• Anthem/BCBS
• Cigna
• Tricare
• Aetna
• Medical Mutual
• Humana

A Vision Plan is different from your health insurance policy. Regular medical health insurance protects you from unexpected costs for eye injury, infection or other disease. In contrast, vision plans provide an added wellness benefit for healthy eye exams, which includes routine eye care, prescription eyewear and contact lenses, and other vision services at a reduced cost.

Most vision plans include the following benefits: 

• Annual Routine Vision Exams 
• Spectacle Frames 
• Spectacle Lenses 
• Contact Lenses 

Check with your plan to see if your benefits cover you once every year or once every two years. Eyeglass frames and lenses and contact lenses can usually be purchased at a discount, but not every plan has this benefit.  

Vision plans do not cover any part of an eye exam considered “medical”. For example, vision plans will not cover vision loss, floaters, dry eyes, allergies, infections, eye disease like cataracts or glaucoma, or eye exams to check for complications from diabetes. If you need medication the doctor will not be able to give you a prescription if you are using a vision plan. Additionally, some vision plans do not cover contact lens fittings (for first time wearers or established wearers that need to switch to a new brand) or yearly contact lens evaluations.  

Check with your location to verify coverage and In or Out of Network Benefits

• Eyemed 
• Blue View Vision 
• Humana Vision 
• Aetna Vision 
• UHC/Spectera Vision 
• VBA 
• NVA 
• Avesis/Guardian 
• Cigna Vision 
• Metlife Vision 
• Superior Vision 
• VSP Vision 
• Davis/Versant Vision  

Your medical insurance is usually used if you have an eye problem or eye disease or if any medical condition is present that causes eye problems. Some common conditions for which we can bill your medical insurance include: Patients with vision loss, floaters, dry eyes, allergies, infections, etc. Also monitoring cataract development, examination of patients possessing diabetes. Diabetic Eye Examinations should be billed to your medical insurance. Examination of patients using medications with potential eye side effects, such as steroid medications, arthritis medications, etc. Patients that are at high risk for glaucoma development, patients with macular degeneration or macular abnormalities. When you call in to make your next appointment with the eye doctor, make sure to explain the purpose of your visit so that we bill the appropriate insurance. Additionally, please always bring your insurance card(s) and ID with you to every appointment.  

Unfortunately, no. Medicare does not cover routine eye exams where your glasses or contact lens prescription is checked. Medicare will only pay for eye exams relating to medical complaints. 

No. By law, we cannot bill two different types of insurance on one day for the examination. There are two alternatives. First, we can always schedule your medical and vision visits on separate days, allowing us to bill your insurances on different days. You may have to go through some repetitive parts of the exam on those days because by law there are certain things the eye doctor must document at every visit. If you need to schedule your medical and refraction exam on the same day, another option is billing your medical insurance for the medical exam (don’t forget, this may include a copayment at the time of your visit) and paying the additional flat rate for a refraction ($45.00).  

Check with your location to verify coverage and that your appointment will be with a doctor who is in network with your plan. Grace Vision accepts the following medical insurances:  

• Medicare 
• Aetna 
• Tricare 
• Cigna 
• Humana 
• Anthem/BCBS 
• Medical Mutual 

If your examination or treatment requires billing your medical insurance, we will first check on the deductible amounts for your chosen plan. If you, as the patient, have not met your deductible for the year, your insurance does not pay anything and the balance is your responsibility. These balances may be due day of service and must be paid before further clinical services in most cases. Our office will be happy to provide you with a Good Faith Estimate of these costs.  

What if I don’t have any insurance? 

We offer a 20% courtesy discount for any patients who do not have Vision Plan or Medical Insurance Plan coverage. You will find our professional fees affordable and we are happy to provide itemized receipts if you need to submit for reimbursement.