A few helpful items to consider…
Insurance can be very confusing. For eye care, there are both vision and medical insurance plans. Vision insurance is an optional benefit some employers offer. This covers glasses, contact lenses, and routine eye exams. Our office is NOT a provider on vision insurance plans. We do not do exams for glasses or contact lenses. If you need a referral to an optometrist for glasses or contacts we can help you to find a great doctor near your home.
Office visits for eye problems like cataracts and glaucoma are covered under your medical insurance (not your vision insurance). Your particular insurance plan will determine what your co-pay and deductibles are for an office visit or procedure. We will collect your co-pay at the time of service and may also ask for part of your deductible if you have an insurance plan with a high deductible, especially if you are having a procedure.
It is important for you to know that you can come and see one of our doctors even if you do not have medical insurance or he is not listed as a provider on your insurance plan.
“Several times a year I see a patient in the office who has not received any follow-up care for their glaucoma for several years. One common reason patients share is that they didn’t come in because they lost their insurance. Unfortunately during this time of insufficient treatment and lack of follow-up their glaucoma got worse leading to irreversible vision loss. I want every patient to know that a lack of health insurance should never stand in the way of getting care for an eye disease. We will always work with a patient to find a way for them to get the care they require. We have many different payment options and even see patients for free when the situation requires it.”
– Dr. Peter DeBry
If you want to see one of our doctors and he is not a provider on your panel there are several options. Many insurance plans have out-of-network benefits. You can see one of our doctors and submit the claim and get reimbursed for a portion of your care. It is also possible to pay cash for each visit. A few visits a year for monitoring of an eye condition may only cost a few hundred dollars. This would often be less than switching insurance to a different plan just to be able to see him through a contracted insurance program.