Understanding Your Coverage at Glimpse Eye Care

Navigating vision and medical insurance can be overwhelming, but Glimpse Eye Care is here to help. We work with a variety of insurance providers to ensure you receive the best coverage for your eye care needs. Whether you need a routine eye exam, new glasses, contact lenses, or treatment for an eye condition, we can help you understand what your insurance covers and what out-of-pocket costs to expect. 

If you have questions about your benefits, contact our office, and we’ll assist you in verifying your coverage. 

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What Does Vision Insurance Typically Cover?

Vision insurance helps with the cost of routine eye care and may include: 

  • Annual or biennial comprehensive eye exams. 
  • Coverage for prescription eyeglasses, including frames and lenses. 
  • Discounts or allowances for contact lenses. 
  • Lens enhancements, such as blue light filters, anti-reflective coatings, and transitions lenses. 

Vision insurance does not cover treatment for medical eye conditions. If you need care for an eye infection, dry eye, or an injury, medical insurance may apply instead. 

What Does Medical Insurance Cover for Eye Care?

Your medical insurance covers visits related to eye health conditions or medically necessary treatments. This includes: 

  • Diabetic eye exams and retinal screenings. 
  • Glaucoma diagnosis and management. 
  • Cataract evaluations and surgical co-management. 
  • Dry eye disease assessment and treatment. 
  • Eye infection, injury, or emergency care. 

If you are being treated for an eye condition rather than routine vision care, your medical insurance may provide coverage. 

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Does Insurance Cover Specialty Contact Lenses?

Standard vision insurance plans typically cover basic contact lenses but may not fully cover specialty lenses, such as: 

  • Scleral lenses for keratoconus or severe dry eye. 
  • Ortho-K lenses for myopia control. 
  • Hybrid lenses for irregular corneas. 
  • Custom toric lenses for high astigmatism. 

Some plans offer partial reimbursement or require medical insurance coverage for medically necessary lenses. Our team can help determine what benefits apply to your situation. 

Can I Use My HSA or FSA for Eye Care?

Yes! Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can pay for: 

  • Eye exams and medical eye care visits. 
  • Prescription eyeglasses and contact lenses. 
  • Specialty contact lenses and lens upgrades. 
  • Dry eye treatments and other medically necessary procedures. 

If you have HSA or FSA funds, they can help cover out-of-pocket costs for vision care. 

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How Can I Check My Insurance Coverage?

  1. Call your insurance provider and ask about your vision or medical eye care coverage. 
  2. Contact our office, and our team will be happy to verify your benefits for you. 
  3. Check your plan’s website or documentation for coverage details. 

We recommend verifying your insurance before your appointment to ensure there are no surprises. 

What Payment Options Are Available for Services Not Covered by Insurance?

For services not fully covered by insurance, we offer: 

  • CareCredit and other financing options to help manage out-of-pocket costs. 
  • Flexible payment plans for specialty lenses or medical treatments. 
  • HSA and FSA payments for qualifying vision care expenses. 

We believe high-quality eye care should be accessible, and we’ll work with you to find the best payment options. 

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