Vision Insurance and Medical Insurance Plans

Below is a list of some of the larger insurance plans we accept.  If you do not see your plan below, please contact our office as we accept a number of plans not listed below as well.  We will do our best to help you make the best use of your insurance benefits.  Please see the article below regarding the different kinds of insurance, and feel free to contact us with any questions.

VSP (Vision Service Plan)
HMA (Health Management Administrators)
Cigna Vision Insurance
MES Vision
Moda (formerly ODS)
Oregon Health Plan (Providence Plan OHP)
Blue Cross Blue Shield
EyeMed (Access Plan)
Superior Vision
PacificSource
Providence Health Plan
Medicare
Lifewise

REGARDING VISION CARE & MEDICAL INSURANCE

We often have patients that have both vision insurance (for example, VSP or EyeMed) and medical insurance (for example, Blue Cross, Aetna, Blue Shield, or Medicare). They are very different in terms of the services they cover, and it’s important for our patients to understand these differences.

Vision insurance is designed mainly to cover determining a prescription for glasses, to help pay for glasses or contact lenses, and to cover a yearly routine evaluation of the health of the eyes in a healthy patient that has no particular problems or symptoms. It is not equipped to deal with and does not usually cover medical conditions, injuries, and/or treatments. Medical insurance is designed to cover you when you have a medical problem, including one that affects your eyes. Medical insurance does not cover routine services or examinations for glasses, or routine vision problems such as nearsightedness, farsightedness, and astigmatism. Those are only covered by your vision insurance.

When a medical diagnosis or medical condition is present that affects your eyes, such as diabetes, or you have an eye disease or eye problem such as an infection (pink eye), dry eyes, allergy, or cataracts, we must file the claim with your medical insurance, and the co-pays and deductibles for that insurance will apply. Your vision plan does not cover these kinds of problems. Our office does not make these rules, they are made by the insurance companies themselves, and we must comply with them.

We make every effort to join as many insurance panels, both medical and vision, as we can for your convenience. If we are on your insurance company’s panel we will file those claims for you. In the event that we do not accept your medical or vision insurance we will provide you with an itemized receipt so that you may file a claim for reimbursement with your insurance company yourself. If you have any questions, please let us know.