Navigating eye care coverage can be confusing, especially when it comes to knowing the difference between medical and vision insurance. Eye Physicians & Surgeons takes the guesswork out of the process by helping patients understand how their benefits apply to different types of eye care.
Founded by Dr. M. Hobson Rice, the first ophthalmologist in DeKalb County, our practice has built a reputation for excellence in both medical and vision services. Our skilled physicians and surgeons provide everything from routine eye exams to advanced medical treatments.
Comprehensive Eye Care: Medical vs. Vision Insurance
One of the most common questions we encounter at Eye Physicians & Surgeons is whether patients should use their medical or vision insurance for eye care services. Let’s break down the key differences to ensure you know which coverage applies to your needs.
Understanding Your Insurance Coverage
Medical Insurance: Designed for medical eye issues, such as corneal disorders, diabetes-related eye problems, cataracts, glaucoma, and other conditions requiring medical intervention. If you’re experiencing symptoms like double vision, your medical insurance is the appropriate choice, as it covers the evaluation and treatment of these issues.
Vision Insurance: Primarily covers routine eye exams and prescription eyewear. It is the go-to for baseline eye exams when no medical conditions are present. However, it’s important to note that vision insurance generally doesn’t cover medical treatments.
For Patients With Both Medical and Vision Coverage
If you have both types of coverage, the purpose of your visit will determine which plan is billed. For medical evaluations, we file claims with your medical insurance. If we are in-network with your vision plan, it may be billed as a secondary claim. Eye Physicians & Surgeons ensures you receive the necessary care by accurately billing the appropriate plan.
For Patients Without Vision Coverage
Without vision coverage, routine exams fall outside medical insurance benefits and require out-of-pocket payment. Conversely, if your eye exam uncovers a medical issue, it becomes a medical claim. Note that blurred vision or headaches are often deemed routine, so check with your insurance for coverage specifics.
Our experienced billing team at Eye Physicians & Surgeons is adept at determining the right plan to file your claim, ensuring a seamless experience for our patients.
Why Choose Eye Physicians & Surgeons?
Connect With Our Team
Clearer vision begins with expert guidance. Reach out to Eye Physicians & Surgeons at +1 (404) 292-2500 to schedule a consultation at our Atlanta or Decatur offices.