Insurance

The doctors at Advanced Eye Care & Surgery are currently providers for the following insurance plans. For plans not listed, please call 248-2424. Please call our staff prior to your appointment to verify your benefits.

  • Access Vision
  • Aetna
  • Always Care
  • Ameritas
  • Assurant Health
  • Bankers Life & Casualty
  • BCBS Federal
  • BeechStreet
  • Benefit Planners
  • Block Vision
  • Blue Cross & Blue Shield
  • Cigna PHCS
  • Cigna Vision
  • Coast to Coast
  • Comp Benefits
  • ECPA
  • EverCare STAR+PLUS (Medicaid)
  • EverCare Health Plan for People with Limited Income (Medicare)
  • EyeMed
  • EyeTopia
  • First Health
  • Fiserve Health
  • GEHA
  • Golden Rule (A UnitedHealthcare Company)
  • GPA
  • Great-West Healthcare
  • Guardian
  • Humana Choice Care Network
  • Humana PPO
  • IdealCare
  • Medicaid (Some Medicaid Plans- please call)
  • Medicare
  • Meritain Health
  • Multi Plan Network
  • Mutual of Omaha
  • Opticare Vision
  • Outlook Vision Services
  • Principal Life Insurance
  • PHCS
  • Protective Vision Plan
  • RR Medicare (Pacific Railroad Ret.)
  • SAMBA
  • Superior Health Plan / Network (CHIP)
  • Superior Health Plan / Network STAR Health (Foster Care)
  • Superior Vision Plan
  • Texas Workers Compensation
  • Tower Life Ins.
  • Tricare for Life
  • Tricare Standard
  • Unicare
  • United Healthcare (UHC Medical Plans)
  • VCD – Vision Care Direct
  • VCP – Vision Care Plan
  • VSP – Vision Service Plan

We participate with many Medical Insurance Plans as well as various Vision Plans. Our billing staff would be happy to answer any of your questions concerning insurance at 512-248-2424.

Why didn’t my insurance pay for my exam? There are two types of insurance that cover eye care. Medical Insurance and Vision Insurance. Advanced Eye Care & Surgery must bill the appropriate insurance as legally directed.

Medical Insurance – (Medicare/Medicaid, Blue Cross & Blue Shield, etc.) This type of insurance provides benefits for the treatment of medical problems including medical eye problems. To obtain coverage under medical insurance, a symptom or complaint indicative of eye disease, eye injury, or a chronic medical condition is the reason for your visit. Although the examination that you receive may be the same or similar to previous visits, the reason for the exam and the doctor’s diagnosis dictate how we must bill our patients.

Vision Insurance – (VSP, EyeMed, etc.) This type of insurance covers routine vision care (i.e. regular eye exams for glasses and contacts) when no medical eye problem or related complaint specifically exists.

Common Misconception #1: I came in for my yearly eye exam – shouldn’t it be billed to my vision insurance? If you have a medical concern such as cataracts, blurry or dry eyes, red eyes, or any Medical Diagnosis then your medical insurance must be billed.

Common Misconception # 2: Why do I have a charge for a “refraction fee”? A refraction is a test generally used to determine how well a person sees. Refractions may be necessary for the physician to diagnose your eye condition. If you have a medical problem, your visit must be billed to your medical insurance and you may still need a refraction. Unfortunately, refractions are not covered by some insurance companies, such as Medicare, even if a patient has glaucoma, cataracts, etc.

Payment Policy: Payments are due at time of service unless covered by insurance. We expect and appreciate all insurance co-payments and deductibles to be paid at time of service. It is NOT our intent to bill for co-payments and/or deductibles.

Insurance claims not paid by your insurance plan after 60 days are your responsibility.

[wpgmza id="1"]