Vision Insurance FAQs

Vision Insurance FAQ

Helping you understand your benefits and make the most of your eye care.

  • What does my vision insurance cover?

    Most vision plans cover a routine eye exam once every 12–24 months. Many also provide an allowance or discount for eyeglasses, lenses, or contact lenses. Coverage varies by plan, so our team is always happy to review your benefits with you.

  • Are contact lens exams covered?

    Contact lens services (fitting, evaluation, and follow-up) are not included in a routine exam. Some plans offer a separate benefit or allowance for contact lenses; others do not. We’ll let you know your specific coverage during your visit.

  • Can I use my benefits for both glasses and contact lenses?

    Most plans allow you to use your benefit for glasses OR contact lenses during the benefit period—not both. If you want both, we can tell you your out-of-pocket cost.

  • How often can I use my benefits?

    Most plans renew every 12 or 24 months, though some benefits—like frames or contact lenses—may renew on a different schedule. We can check your eligibility and let you know what’s available today.

  • Are lens upgrades covered?

    Lens options such as progressives, anti-glare coatings, blue-light filters, thinning (high-index) lenses, or photochromic lenses may have partial coverage depending on your plan. We’ll review your options and any added costs before you choose.

  • What if you’re out-of-network with my plan?

    We can often provide you with an itemized receipt you may submit to your insurance company for reimbursement. Coverage varies by plan, so check with your provider for details.

  • Are retinal photos or OCT scans covered?

    Advanced imaging (like retinal photos or OCT) are not covered under your vision plan. If recommended, we’ll explain whether it’s billable to medical insurance or out-of-pocket.

  • What is a frame allowance?

    frame allowance is the amount your plan contributes toward the purchase of eyeglass frames. If you choose frames above your allowance, you simply pay the difference.

  • Can I use my FSA or HSA for eye care?

    Yes. FSA and HSA funds can be used for exams, glasses, prescription sunglasses, contact lenses, and certain eye treatments. They can also be used for fees not covered by your insurance.

  • What will my visit cost?

    Costs depend on:

    Your insurance coverageCopays and deductibles
    Whether the visit is medical or routine
    The eyewear or lens options you choose

    We’ll always review your benefits and provide pricing at your appointment.

  • Can you check my insurance benefits for me?

    Yes! If you provide us with your insurance information before your appointment, our team can verify your benefits and explain your coverage when you arrive.

  • What is a copay?

    copay is a fixed amount your plan requires you to pay at the time of service. Routine exams, contact lens evaluations, and specialty testing may each have their own copay depending on your plan.

  • Is there a difference between “vision insurance” and “medical insurance”?

    Yes.

    Vision insurance covers routine eye exams, glasses, and contact lenses.

    Medical insurance covers eye problems such as eye infections, allergies, dry eye, injuries, diabetes-related exams, glaucoma visits, and other medical conditions.
    If your visit is related to a medical issue, we may need to bill your medical insurance instead of your vision plan.