Understanding Insurance Coverage

Vision insurance, Vision Plans and Medical Insurance

Clearing up what you have and what it covers

Since our Doctors are Ophthalmologists (Medical Doctors) some of our services are covered by medical insurance and some services by vision insurance.

Medical procedures such as cataract surgery and glaucoma treatments would come under medical insurance coverage.

Vision plans cover routine eye exams and either a portion or, in some cases, all of the expense for corrective lenses and frames.

The best way to find out exactly what coverage you have is to contact your insurance or plan provider. Our financial department will also be happy to assist you in determining the coverage you have. Simply present the information from your member card.

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FAQ’s

1. What medical plans do you accept?

We are providers for Medicare, Anthem Blue Cross Blue Shield, Humana, Aetna Cigna, Tricare Encore, Multi Plans, Private Health Care Systems, Preferred Health, Kentucky Medicaid, GreatWest, Coventry/First Health, Bluegrass Family, PPO Next, CHA, KY Access, Prime Health, Med Advant, Direct America and Provider Net.

2.Can I use my medical insurance for an eye exam?

If you have a medical diagnosis such as cataracts or glaucoma, etc, we can file a medical claim.

3.  What vision plans do you accept?

We are providers for VSP, VCP, Avesis, Alcon Davis, GE Davis Out-of-Network, SVS with referral,  Adenta Discount, most EyeMed Plans and Coast to Coast Discount.

4. How do I know if I have Vision Coverage?

First, check your health card to see if vision is listed on your card. You can also call your insurance company and ask if you have vision coverage. If you have coverage, you need to know if your vision plan is administered by your medical insurance or if you have a vision rider. If you have a vision rider, we will need to know the plan name.

5. What if I think I have a medical problem?

We file insurance according to your chief complaint. If you are having a problem with your eyes, make sure you mention this during your exam.

Please feel free to contact our Insurance Department for if you have other questions (502) 896-2064 

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