Understanding your vision and medical insurance benefits can help you get the most out of your plan. At Glimpse Eye Care, 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, glasses, contact lenses, or treatment for an eye condition, we’re here to help you understand what’s included in your plan.
What’s in Your Insurance Plan?
What Does Vision Insurance Cover?
Vision insurance helps cover routine eye care services that support clear vision and healthy eyes. Most vision plans include:
- Annual or biennial comprehensive eye exams to check your prescription and eye health.
- Allowances or discounts for eyeglass frames, lenses, and contact lenses.
- Lens enhancements, including blue light protection, anti-glare coatings, and transitions lenses.
- Discounts on additional eyewear purchases.
Vision insurance does not cover medical treatments for eye diseases, injuries, or emergency care—those services fall under medical insurance.
What Does Medical Insurance Cover?
Medical insurance applies to eye conditions that require treatment, monitoring, or surgery. If your visit is because of a medical diagnosis, we will bill your health insurance, not your vision insurance. Covered services may include:
- Diabetic eye exams and retinal screenings.
- Glaucoma testing, treatment, and management.
- Cataract evaluations and surgical co-management.
- Dry eye disease diagnosis and advanced treatments.
- Emergency eye care for infections, injuries, or sudden vision changes.
If you have an eye condition that requires ongoing care, your medical insurance may help cover your visits and treatment costs.
How to Verify Your Insurance Benefits
Understanding your coverage before your appointment helps you avoid unexpected costs. To check your benefits:
- Call your insurance provider to ask about vision and medical eye care coverage.
- Contact our office, and we’ll help verify your benefits before your visit.
- Review your plan’s website or documents for details on what’s included.
Our team is happy to assist you with confirming eligibility, understanding co-pays, and maximizing your benefits.
Maximizing Your Insurance Benefits
To make the most of your plan:
- Schedule your annual eye exam before your benefits reset.
- Use your frame and lens allowance to invest in high-quality eyewear.
- Apply your HSA/FSA funds for prescription glasses, contact lenses, and specialty treatments.
- Ask about additional discounts on second pairs of glasses, lens upgrades, or prescription sunglasses.
Taking full advantage of your benefits ensures you get the best value from your insurance plan while protecting your vision.
