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What insurance will cover what: Vision Vs Medical

Vision and Medical insurance are both accepted at Park Slope Eye, however they often provide coverage for different services.  Because of the staggering diversity and complexity of insurance plans, we would like to simplify the process by providing you with specific information regarding your plan.  Please contact the office directly to utilize this service.

Vision plans are primarily for routine eye exams, glasses, and contacts only.  A routine eye exam is for patients that have no medical eye problems or known eye health issues.  The goal of a routine eye exam is to prove that your eyes are perfectly healthy and to discover unknown problems.

If a patient presents with an eye problem, such as pinkeye, glaucoma, or dry eye, this office visit is can be billed to medical insurance, not a vision plan. See the list below for some common medical presenting conditions.  Your vision plan may be utilized in addition to your medical plan to provide coverage for additional services and products such as glasses and contacts.

Vision Plans Cover Refractive Care.  Ie. What a pair of glasses or contacts can correct.

They include the common vision conditions:

367.20 Astigmatism
367.00 Farsightedness
367.10 Nearsightedness
367.40 Presbyopia, aka Can’t see up close

Medical Insurance Covers Conditions That Can Affect the Health Of Your Eye.

Most Common Presenting Medical Complaints and Conditions:

379.91 Eye Pain, Eye Strain
371.82 Contact Lens Related Eye Health Problems
372.22 Eye Allergies, Itchy Eyes
930.00 Something in your eye
372.03 Pink eye
379.93 Red Eye
372.71 Irritated Eye
368.8   Blurred Vision
370.33 Dry Eye
375.21 Tearing, Watering
368.15 Flashes of Light
379.24 Floaters, Seeing Spots
368.2   Double Vision
368.13 Light Sensitivity
784.00 Headaches

V19.1   Family History of Eye Disorders, other than needing glasses or contacts.
373.11 Styes
373.00 Eyelid Infections
365.00 Glaucoma
366.10 Cataract
362.5   Macular Degeneration
378.9   Eye Movement Problems, Eye Turn, Lazy Eye

Medical Conditions that have ocular implications are also covered, such as:

250.0_ Diabetes
401.90 Hypertension

Park Slope Eye is located in Brooklyn, NY.  For more info contact Justin Bazan, OD, the optometrist of Park Slope Eye, at Dr.Bazan@ParkSlopeEye.com or visit www.ParkSlopeEye.com Also, check us out on Yelp!, Twitter and FaceBook.

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2 responses

  1. Pingback: I just need a routine check up and I don’t have a vision plan, why are you asking for my medical insurance? « Justin Bazan, OD Park Slope Eye

  2. Pingback: Lasik Blogg

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