VSP, Eyemed, Superior, Avesis.
If a you do not have a vision card, the member ID is under the Guarantor's Social. If you do not see one or do not have a card, please put your social security number.
Aetna, BCBS, UHC, Medicare
At the time you schedule your appointment, our office staff will ask you for pertinent insurance information needed to verify and/or pre-authorize your insurance coverage. Many insurance companies now require pre-approval or pre-authorization before eye care services are rendered, and if this is not received prior to you receiving services, the insurance company will not pay the bill and you will be responsible for the fees.
If a patient comes to us with a medical eye issue (red eye, floaters, flashes of light, eye pain, eye soreness, pink eye, eye disease etc.), the visit will be billed to the patient's medical insurance and must have a referral from their primary care physician. However, a referral from a doctor is not adequate for medical insurance coverage as an authorization needs to be pulled from your insurance company prior to your visit.
Also, please note that obtaining a medical referral is the patient’s responsibility. We cannot obtain the referral for you legally, and the referral cannot be obtained retroactively. If you do not have a referral, we would be more than happy to reschedule your appointment or see you on a cash basis, but your medical insurance company will not pay for your treatment without a proper insurance authorization pulled prior to your appointment.
NVC requires Optomap Retinal Imaging (Screening) for all patients coming in for their yearly Comprehensive Eye Exam. The Optomap captures a digital image of the Retina and allows the doctor to view the backside of the eye for a year-to-year comparison to ensure no changes have occurred. If your insurance plan does not cover the Optomap image, the cost is $39.00.
Contact Lens Evaluation
Contact lenses are medical devices that require additional testing to ensure safety and an accurate prescription. An annual contact lens evaluation is required every year for all contact lens wearers to prescribe contacts. The fee for this evaluation is separate from the price for the comprehensive eye exam and is not refundable. Some insurance plans do cover all or part of this fee, while other insurance plans do not. Any amount not covered by your insurance will be due in full at the time of service.
Contact Lens Evaluation Fee:
The exact fee within these ranges depends on the exact type of lens and complexity and will be determined by your doctor. The fees listed above do not include specialty (Keratoconus or Scleral) Contact Evaluation Fees.
- New patient soft lens evaluation: $95-$160
- Established patient soft lens evaluation: $75-$160
- New Patient RGP evaluation: $160-$250
- Established patient RGP evaluation: $120-$160
***Patients who carry Health Care and/or Vision Insurance must remember that professional services are rendered and thus charged to you the patient, not the Insurance Company.
***Our office makes every effort to obtain accurate benefit information for you prior to your visit. However, our quote of benefits to you does not guarantee payment to us by your insurance company. You are ultimately responsible for knowing your own insurance benefits and are responsible for any balance on your account should your insurance company payment differ from our preliminary quote.
***Even though we file your insurance claim, this office cannot accept responsibility for negotiating a settlement on a disputed claim. You are ultimately responsible for the balance on your account should your insurance company deny your claim for any reason.