Medical vs. Routine Vision (refractive) Coverage
Routine Vision Coverage: Your "vision" plan insurance (VSP, EyeMed, Spectera, etc.) is intended to provide you with an annual baseline eye exam. Some medical plans also have "wellness vision benefits" as well. Please be aware of your vision insurance benefits and inform us of your coverage.
Medical Exam: If you are symptomatic (itchy, watery, red eyes, flashes or floaters, etc.) during your Routine Vision exam and want the doctor to address your symptoms or a medical problem is diagnosed and you wish the doctor to discuss and treat the condition, First Eye Care McKinney can coordinate your benefits (at your request) and use both plans (vision plan and medical). You may also choose to decline consultation/treatment and return at a later date to address the medical conditions. Medical eye conditions that your doctor may address and treat may include, but are not limited to, cataracts, macular degeneration, glaucoma, cornea or retinal problems, dry eyes, or eye allergies.
How Coordination Works: If you choose to use coordinate both plans, the medical or vision plan copay may apply depending on your plan. Your visit will be billed to the medical and vision insurance(s) and subject to your medical deductibles and co-insurance. You may be billed for any balance remaining after your medical insurance is billed if your vision plan does not allow coordination.
Patient Responsibilities: You may still be responsible for some co-pays and co-insurance if both medical and vision plans are used, however your out-of-pocket expenses may be less when benefits are coordinated. Please understand that each patient's insurance coverage varies and First Eye Care McKinney cannot be held responsible for knowing the specifics of every patient's coverage. Please be aware of your coverage prior to your examination or contact us at (972) 540-2015 for assistance.