Based on the reason you’re seeing an eye doctor and the results of your examination, an insurance company will either classify the visit as a “routine exam” or a “medical exam.” So, what’s the difference?
Routine Eye Exam
A routine eye exam is an office visit where a doctor checks your vision, screens for eye disease, and/or updates your prescription. These exams provide you with a diagnosis such as nearsightedness, farsightedness, or astigmatism.
A routine eye exam is billed to your vision insurance plan. Typically, they will cover these routine exams and your glasses, contact lenses, or provide discounts. Medicare does not cover routine eye exams but additional coverage may be obtained based on conditions and risks.
Medical Eye Exam
A medical eye exam is an office visit where a doctor provides you with a diagnosis such as cataracts, glaucoma, or conjunctivitis (pink eye).
A medical eye exam is billed to your medical insurance plan. These exams may include assessments, eye care, and follow-ups. Based on your policy, your medical insurance plan may cover a medical eye exam but not a routine eye exam.
Refraction Fees
When our doctors conduct a series of tests such as asking you which image is clearer, this is a refraction and determines your prescription. Our standard refraction fee is $35.00 and is typically covered by your vision insurance plan but not your medical insurance plan.
Avail eye exam in Colorado at our Colorado Eye Institute to get the clear vision.
