Insurance  &  Payment  Information

ABOUT YOUR INSURANCE

There are two types of health insurance that will help pay for your eye care services and products. You may have both and our practice accepts both:

1. Vision care plans (such as VSP and Eyemed) offer benefits for routine vision exams along with material benefits for eyeglasses and contact lenses. A routine vision exam only includes a basic wellness screening. It does not include the diagnosis, management, or treatment of eye diseases.
2. Medical insurance plans (such as Medicare) offer benefits for the management of any medical condition. Most medical insurance plans do not cover routine services like the refraction or vision materials.  

• Medical insurance must be used if you have any eye health problem or systemic health problem that has ocular complications. Your doctor will determine if these conditions apply to you, but some are determined by your case history.
• If you have both types of insurance plans, we may be able to bill some services to your medical insurance and other services to your vision plan using coordination of benefits. Some plans do not allow coordination of benefits.
• We will bill your insurance plan for services if we are a participating provider for that plan. We will try to obtain advanced authorization of your insurance benefits so we can tell you what is covered. If some fees are not paid by your plan, we will bill you for any unpaid deductibles, co-pays or non-covered services as specified by the insurance contract.​

Our office participates with a variety of insurance plans.  While we are very knowledgeable about insurance in general, it is your responsibility, as the insured party, to be aware of the coverage you have and the details of your individual plan(s).  Quite frequently plans can change or once-covered items can be discontinued.  We try to do our best, but also need your help.  We ask you to:

• Prepare for your visit by confirming your eligibility and benefits.
• Bring your insurance card(s) to every visit, and make us aware of any changes in your coverage.
• Be prepared to pay your co-pay at each visit. Payment can be made by cash, check, or credit card (Visa, Mastercard, or Discover). We are required by your insurer to collect payment.
• For medical care not covered under your insurance, payment in full is due at the time of the visit.​
• If your insurance company requires a referral, you are responsible for obtaining this before your appointment.
• For products, including those covered by vision allowances, a minimum of half of the balance is due prior to order.

If your insurance is with a carrier other than one of our partners, our office is happy to file the claim upon request, however, payment in full is expected at the time of service.
If you fail to make payment in full for the service rendered to you, your outstanding balance may be forwarded for collection.  You will be responsible for the fees assessed by the collection agency.

VISION INSURANCE PARTNERS

• Eyemed - over 2600 individual plans except Eyemed Advantage Plan and Bold Eyemed plan
• Vision Service Plan (VSP) 
• Metlife Vision (PPO Plan, not Superior or Davis plans)

MAJOR MEDICAL INSURANCE PARTNERS

• Aetna
• Blue Cross Blue Shield
• Cigna
• Humana (OPERS)
• Humana (PPO) - Out of Network Benefits Only
• Medicaid
• Medical Mutual of Ohio
• Medicare
• OSU Primecare  
• United Healthcare Medical - except United Healthcare Community Plan

For questions about other plans, please contact our office.