This explains why your vision exam may be billed to your medical insurance and not your vision care plan.
A ROUTINE vision exam determines a prescription for eyeglasses and is billed to vision care plans (i.e. VSP or EyeMed) when NO medical diagnosis is present, and NO medical advice is given by the doctor.
A MEDICAL exam will be billed to your medical insurance if ANY medical diagnosis exist (i.e. diabetes, eye infections, macular degeneration, glaucoma, cataracts, etc). If a medical issue is found during the exam, this will bill to your medical insurance.
Insurance plans require us to bill according to these rules. Some vision care plans allow us to file BOTH medical and vision plans. Your vision care plan may prohibit this coordination of benefits. If this is the case, the refraction fee ($49) will be collected.
Download the PDF document to print & sign: