WHEN CAN YOU USE YOUR “VISION PLAN”? By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
October 10, 2016

Confused about when to use your “Vision Plan” and when to use your regular medical insurance for your eye examination? You are not alone!  Not everyone has a Vision Plan but if you do, it is intended for routine care that may not be covered by medical insurance. This means coming in every 1-2 years to be sure your glasses prescription is correct and your eyes are generally healthy.  These plans may also include a discount on glasses or contact lenses every 1-2 years. More often than not either you or your employer has paid extra for this benefit.

While the exam under a Vision Plan may appear pretty much the same as one under medical insurance, the reason for the visit is the key. If you have diabetes, cataracts, macular degeneration, glaucoma, floaters, rapid change in vision, eye pain, red eyes or any other vision or eye problem, then this is a medical eye visit and will be billed to your medical insurance.  Our medical doctor, Dr. Martha Jay, does not accept Vision Plans as her patients generally have medical or surgical eye problems.

Sometimes patients are paying extra for a Vision Plan they don’t actually need.  An example of this would be if you have macular degeneration and your Vision Plan costs more than the discount it provides on glasses. As your examination would be billed to your medical insurance, you would be losing money by purchasing the Vision Plan.

Still confused?  Our staff will be happy to help you decide which insurance plan is the most appropriate for your visit.  Remember that if you do have both a Vision Plan and regular medical insurance, be sure to bring BOTH cards to EACH appointment.

Dr. James Ivanoski

Dr. James Ivanoski is an optometrist practicing at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin. He welcomes patients of all ages into his practice and accepts most insurance plans.

For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


Dr. James Ivanoski's Blogs, General Eye Care, Medical and Surgical Eye Care, Our Doctor's Blogs


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