Insurance



Nashua Eye Associates, The Nashua Optical Company, and the Nashua Eye Surgery Center honor coverage from most common vision plans and health insurers in the region. The below list is non-exclusive, as contracts vary frequently. If your insurance is not on this list, please call to inquire with our billing department at (603) 882-9800.


Vision Plans

  • VSP
  • EyeMed
  • Superior Vision

Health Insurance Plans

  • Health In
  • Aetna
  • Anthem
  • Cigna/Great West
  • Fallon
  • HCVM
  • Harvard Pilgrim
  • Humana
  • Tufts
  • Martin's Point
  • MVP
  • Multi-Plan
  • Medicare
  • Medicaid
  • NECC (Northeast Community Care)
  • Private Healthcare
  • Railroad Medicare
  • TriCare
  • United Healthcare
  • Workers Compensation

 


Routine Vs. Medical

Many patients have a Routine Eye Exam benefit as part of their health insurance or with a separate vision plan. When you have medical coverage and routine coverage, which plan should be billed for your visit? Actually, your insurance company says it depends upon the reason you are here today.

Your Medical Benefit is billed if you are here for medical care, much the same was as when you visit a cardiologist for an evaluation or follow up to a heart condition. Medical care would address items such as:

  • evaluation of an ocular disease you have been diagnosed with, e.g., glaucoma, cataract or retinal disease; or
  • a complaint such as red eyes, tearing, burning, floaters, flashes of light; or
  • to follow an existing condition, such as diabetes, plaquenil medication for autoimmune disease; or
  • if you are scheduled for ancillary testing such as visual field, OCT, etc.

Your Routine Vision benefit is billed if you are here if:

  • you would like a “healthy” eye exam, much the same as a “routine physical” or
  • you would like your eyeglass prescription updated

These definitions are based on the guidelines of your insurance company and vision plans and Nashua Eye Associates is contractually obligated to follow them. Every effort is made to submit claims correctly so that:

  1. We are in compliance with our contracted insurance carriers and vision plans
  2. You do not receive unexpected medical bills for uncovered services

This is usually a straight-forward issue once you understand the insurance carriers’ definitions, but please do not hesitate to ask your Nashua Eye Associates doctor if you have questions.

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