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