A vision plan is not the same as health insurance. Some health insurance plans provide routine eye exams as a preventive coverage especially for children under the age of 18. Other health insurance plans only cover exams if you have medical symptoms and/or medical eye conditions such as Dry eye, Diabetes, Glaucoma or Macular Degeneration.
We are able to look up your out of network benefits for most vision plans such as VSP, EyeMed, Blue View Vision and Davis Vision. North Country Eye Care also gives 20% off exams and 10% off glasses to patients using their out of network benefits and we submit the claim for you.
Why should I choose an out of network provider?
Your vision plan does not choose the providers on their panels based on any criteria such as education, patient reviews or peer reviews. Instead their only true criteria is how low of a reimbursement is the doctor willing to take. If your only concern is the cost of your vision care, then your vision plan is ideal for you. However if quality of your care, products and knowledge of your doctor and staff are important factors in your decision, you may find it better to choose an out of network provider. Here is a list of top reasons many of our current patients choose to use their out of network benefits to see us.
- We are able to see you at a convenient time for you.
- Our doctors and staff take the time to explain your prescription needs, eye conditions and provide a tailored treatment for you.
- The quality of your frames and lenses are chosen by our experienced opticians based on quality and value they offer and not by your vision plan who happens to own many frame manufacturers.
- All of our frames and lenses have unconditional warranties and our patients always have a 60 day satisfaction guarantee with the purchase of new eyewear.
- Our doctors and staff are committed to improving our patients quality of life by maintaining good vision throughout their life.
- We are able to file your claim for you to get reimbursed out of network benefits from your vision plan.
- You can use your Health Savings Accounts towards your exam, eyeglasses and contact lenses.
Medical Plans we Accept
Your medical insurance may have transferred your routine eye care to a vision rider such as VSP or EyeMed. If you would like to know if you have coverage through your medical plan or if it is through a vision rider, please let our office know. We will need your insurance information to check this for you. Some vision riders we are not in network with and your routine visit may be out of pocket if we are not able to bill medically.
What is the difference between a medical and routine eye exam?
A routine eye exam is usually associated with the refraction. This is better known as the prescription determination for glasses or contact lenses. We also screen for potential eye health conditions and look at your current eye health which can be a reflection of your general health.
Medical exams would be utilized if you have a current eye health condition we are monitoring or if you are having symptoms of a medical eye condition such as loss of vision, red or painful eye, flashes of light, floaters or are taking high risk medications that could effect your vision. If you have questions about the type of exam needed, you will want to discuss that with the Doctor.
Diabetic eye exams are considered a medical exam even if you have a routine benefit. Frequent eye exams are a key part of your diabetic management and our doctors will work with your primary care physician to monitor your condition.
Because we at North Country Eye Care provide both medical and routine eye care, we accept a number of insurance plans depending on your individual needs. Here are just some of the plans that we accept:
- Blue Cross Blue Shield
- Harvard Pilgrim Health Care
- United Health Care
- Health Plans Inc
*NH Medicaid - NH Healthy Families and Ambetter, but NOT Wellsense.
Vision Plans we Accept
- Eyemed Vision Care
We accept most EyeMed plans for routine eye exams and contact lenses, but would have to file out of network for glasses. You can check the EyeMed site to see if we are in network with your plan.
We are able to look up and file out of network benefits for many plans such as VSP and Blue View Vision. Remember you can use your health savings accounts towards glasses and contact lenses as well.