713-864-8652
Insurance
Medical vs. Vision Insurance

One of the most challenging billing issues in an ophthalmology office is whether we should be billing the medical or vision plan.

Your medical insurance may cover a medical eye problem, but not pay for the exam if it is a "routine" eye exam. If you have a medical problem (infection, corneal disorders, diabetes, a lazy eye, cataracts, glaucoma suspect, dry eye, double vision, etc.), your visit is considered a medical problem and can be billed to your medical plan.

Many medical plans are no longer paying for eye exams because of a diagnosis of blurred vision or a headache. They are considering this a routine vision exam and are often not paying for the exam.

Vision plans provide coverage for routine exams, glasses, and contact lenses, or at least give you some type of discount on the doctor’s fees. If you have trouble with your vision (nearsighted, farsighted, astigmatism, etc.), your visit is considered a vision problem and can be billed to your vision plan.

Our billers will determine the appropriate plan (medical or vision) to file your claim, based on the results of your exam. Contact us by email or, call us at 713-864-8652 to make an appointment!

DISCLAIMER - At Northwest Eye Associates we regard patient education just as important as diagnosis; therefore, we have provided answers to many questions you may have. Please note that this information serves to educate patients on common conditions, NOT to diagnose them. Please consult with your eye care physician for specific answers as he or she will know what is best for your eye. Come see us at Northwest Eye Associates to receive your evaluation today! - 713-864-8652
1740 W27th Street, Suite 180
Houston, Texas 77008
713-864-8652
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