Insurance

We understand insurance can be overwhelming and confusing. In addition, when you call other offices, they may start the conversation by asking, "What’s your insurance?" rather than focusing on how they can help you see better. You may also encounter issues with unexpected “open balances” when your insurance doesn’t cover certain costs, causing even more frustration. While other offices may get hung up on insurance details, we focus on YOUR VISION.

We will never ask for your insurance information because we don’t direct bill your plan. Instead, we’ve found that opting for out-of-network reimbursement often offers better value for our patients. While insurance companies may suggest more coverage through in-network providers, that is not always the case.

Take a look at these two cases:

Out-of-pocket with your typical vision plan:

In this case, the patient is responsible for paying $694 after “in-network” benefits. Additionally, the annual cost of your vision plan is approximately $420 for a family of three. In other words, your real out of pocket for the year is $694 + $420 = $1,114.

Private Pay in our office:

The difference between the two out-of-pocket costs is substantial, exceeding $530 annually with your vision insurance. Additionally, by filing an out-of-network claim, you will be eligible for an additional reimbursement check from your provider, reducing your true cost for the glasses.

We hope this clarifies why we chose to be an out-of-network provider for major vision plans. If you have any questions, please don’t hesitate to call us; we’re happy to assist.