Use Your Vision & Medical Insurance for Eye Care
Some Visits May Qualify for Either
For example, a comprehensive eye exam may be billed through vision insurance when you're updating your prescription. Still, medical insurance may apply if you're experiencing symptoms, managing an eye condition, or being monitored for a medical concern.
Vision Plans
If you're visiting for an annual eye exam to update your prescription or purchase new eyewear, your vision benefits may apply. Patients sometimes ask whether Medicaid will pay for eye exams; in many cases, Medicaid does cover routine eye care for eligible patients. Contact our office to confirm your specific coverage before your visit.
Medical Plans
Medical insurance is generally used when diagnosing, monitoring, or treating an eye health condition.
Medical insurance may apply to visits involving:
- Dry eye disease
- Glaucoma management
- Diabetic eye exams
- Macular degeneration management
- Eye infections
- Red eye evaluations
- Eye allergies
- Emergency eye care
- Other medical eye concerns
In some cases, advanced testing such as OCT imaging or visual field testing may also fall under medical insurance when used to evaluate or monitor a medical condition.