Insurance and Vision Plans

What is the cost of a routine eye exam or prescription eyewear? This is a question we get all of the time. You are in luck!  In many cases, vision plans and medical insurance coverage can lower these annual expenses. Still have questions?  Our knowledgeable staff is experienced in working with a variety of insurance providers. We will work directly with you and your insurer to submit claims regarding your vision care. We strive to ensure that you understand your insurance and vision plan coverage and will answer any questions you may have regarding your benefits.

Vision Plans

A vision plan is not the same as medical health insurance. Regular health insurance plans protect you against financial losses due to unexpected eye injuries or disease. Vision plans, on the other hand, is a wellness benefit designed to provide routine eye care, prescription eyewear and other vision-related services at a reduced cost.

Many current vision plans are designed to cover most of the basic vision-related costs, but not all costs associated with eye care and eyewear. Most plans require a co-payment for the eye examination and offer additional allowances and benefits which are applied toward the cost of  your purchase of frames, eyeglass lenses and contact lenses.

We are in-network providers for the following vision plans: 

  • VSP

  • EyeMed

  • Aetna Vision

  • Blue View Vision

  • Cigna Vision

  • MetLife Vision

  • Delta Vision

Medical Insurance

We also provide diagnosis and treatment of eye infections and other medically related ocular diseases. These types of medical office visits are often covered by your medical insurance plan.  Some medical insurance plans include coverage for routine eye exams.  Some plans require a co-payment for the eye exam.

We are in-network providers for the following medical insurance plans: 

  • Aetna

  • America’s PPO - HealthEZ

  • Surest (Bind Benefits)

  • Blue Cross and Blue Shield

  • Cigna

  • Health Partners

  • Medica

  • Medicare

  • Preferred One

  • Veterans Affairs (With Pre-Approval)

  • UMR

  • United Healthcare

Out-Of-Network Plans

Don’t see your plan on our in-network list? No worries! We can still see you and will help you file for out-of-network reimbursements. A few of the plans we are an out-of-network provider for are:

  • uCare

  • Hennepin Healthcare

  • Spectera

  • United Healthcare Vision

  • Davis Vision

  • Avesis

  • Superior Vision

  • Eyemed “Select” Plans

  • Eyemed “Advantage” Plans

Insurance Plan Tips

1. Eye Exam Coverage

Some medical insurance plans include coverage for routine eye exams others only provide coverage for medical eye exams.  Vision plans usually cover routine eye exam.

2. Contact Your Insurance Company to Check Coverage

Please check with your medical and vision insurance companies to verify your coverage prior to your visit. Your insurance company's website is a good resource to understand your benefits. 

3. Plan ahead each year

Each year you can select a new vision plan that covers your needs. By planning ahead, you can select a plan that includes things like contact lenses, anti-glare coating, and progressive lenses that may only be covered by signing up for a higher coverage plan.

Insurance plans can be complicated and confusing. Please feel free to contact us for assistance with understanding and getting the most out your insurance.

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