Hampden Optical FAQs: Eye Exams, Insurance & Eyewear Explained

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.

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.

We currently participate with EyeMed, NVA and Medicare (exam only). We are in the process of enrolling with Davis Vision (commercial plans only.) For vision plans in which we do not participate, we will happily submit to your insurance provider for direct reimbursement to you.