Eye Exams & Insurances

Get answers to frequently asked questions

Routine Eye Exams vs. Medical Eye Exams

Routine eye exams are important to maintain your vision throughout your lifetime. We believe it is important that you are aware of your insurance benefits and how they apply to your visit.

Routine Eye Exams
A routine eye exam is an exam in which there are no medical complaints, symptoms or conditions which affect the eyes. The doctor checks your vision, determines your eyeglass and/or contact lens prescription and screens the eyes for disease. Drs. Troy & Mary Ann Hosey participate with EyeMed Vision for routine eye exams. For all other insurances in which they do not participate, we will happily submit to your insurance provider for direct reimbursement to you.

Medical Eye Exams
A medical eye exam is an exam in which you are being evaluated or treated for a medical condition or symptom that you mention or the doctors find during the exam. Examples of a medical diagnosis include but are not limited to: diabetes, dry eye, headaches, floaters, allergies, cataracts, glaucoma and macular degeneration.

The purpose of your visit will determine which insurance benefit will be used, vision or medical. If we determine that your problem falls under a medical exam instead of a routine vision exam, your visit will be billed to your medical insurance, which will be subject to co-pays and deductibles. You will be informed of the determination during your visit and will have the option to pay out of pocket for your refraction (glasses/contact lens prescription) or schedule a return visit, using your vision insurance.


Eyewear & Contact Lenses

We do not participate with any vision insurances for the simple fact that it inflates prices and the quality of eyewear suffers. We prefer to offer premium products at fair prices and fabricate the glasses ourselves to ensure that our customers are receiving the absolute highest quality eyewear. We are more than happy to fill out and submit the necessary forms to your vision insurance provider for direct reimbursement to you. Check out our blog to learn more!

We do not participate with vision insurances for contact lenses but will submit forms to your insurance provider for direct reimbursement to you.


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