Understanding Your Coverage
The insurance billed for your eye exam depends on why you are being seen and which provider you are seeing.
Here is a simple guide to help you understand whether your visit will be billed through medical insurance or vision insurance.
The Quick Answer
Medical Insurance
If you are seen by one of our medical providers for comprehensive medical eye care.
Vision Insurance
If you are seen by our optometrist for a routine vision exam to update your glasses prescription.
Medical Eye Care
Cataract & Laser Institute will bill your medical insurance when you are seen by one of our medical providers.
Our Medical Providers
Tina Rutar, MD
Justin Spaulding, DO
Allison Jarstad, DO
Clara Castillejo Becerra, MD
Our medical providers do not bill vision insurance for their comprehensive medical exams.
Medical Conditions
If you are following up with one of our medical providers for conditions such as those below, you are being followed for a medical condition:
Routine Eye Care
We will bill your vision insurance when you are seen by our optometrist for a ROUTINE vision exam to update your glasses prescription.
This is different from a comprehensive medical exam with one of our medical providers.
An Important Distinction
If you are scheduled with Tina Rutar, MD; Justin Spaulding, DO; Allison Jarstad, DO; or Clara Castillejo Becerra, MD for a comprehensive medical eye exam, that visit will be billed through your medical insurance, not your vision plan.
Glasses Prescriptions
Our medical providers utilize a refraction to track visual acuity for some medical diagnoses.
A refraction will also provide you with a glasses prescription, which can be used to purchase glasses in our Optical Shop.
This service is typically denied by most medical insurance plans. If you have vision insurance, you are welcome to send an itemized statement to your vision insurance company for reimbursement.
Good to Know
A refraction can:
Medical insurance commonly denies this service. Patients with vision insurance may submit an itemized statement to their vision plan for possible reimbursement.
Patient Experiences
