Insurance & FAQ
Insurance and pricing
About half the calls our front desk gets are some version of “what’s this going to cost me?” It’s a fair question. Most of the answer is on this page, and if your situation is unusual, call us at (423) 555-0143 and we’ll check your exact benefits before you book.
Vision plans we accept
We’re in network with VSP and EyeMed, the two plans that cover most of our patients. For medical eyecare we bill most major medical plans, including BlueCross BlueShield of Tennessee, Cigna, Aetna, UnitedHealthcare, and Medicare.
Not sure what you have? Call with your insurance card in hand and we’ll tell you what your visit and your materials will cost. We check benefits for every patient before the appointment.
Vision insurance vs. medical insurance (the big one)
This is the part of eye care billing that confuses people most, so here’s how it works.
Vision plans (VSP, EyeMed) cover routine care: your annual exam, and an allowance toward glasses or contacts. Medical insurance covers eye problems: dry eye, red eyes, glaucoma, diabetic exams, floaters, and infections.
Which one applies depends on why you’re being seen, not on which card you’d rather use. If you come in for a routine exam and we find a medical issue, we’ll explain how it’s billed before we do anything. The goal is that no one is surprised at checkout.
Self-pay pricing
No insurance? A fair number of our patients pay directly, somewhere between a quarter and a third of them. Our self-pay prices are flat and listed right here.
| Item | Price | Notes |
|---|---|---|
| Comprehensive eye exam | $132 | Optomap retinal imaging included. |
| Contact lens evaluation, standard | $79 | In addition to the exam fee. |
| Contact lens evaluation, toric or multifocal | $119 | In addition to the exam fee. |
| Specialty lens fitting (sclerals, keratoconus) | Quoted at consult | Quoted before anything is ordered. Often a medical-insurance benefit, not a vision-plan one. |
| Myopia management consult | $99 | Applied toward the program if you enroll. The program itself is a yearly cost we map out at the consult. |
| Retinal imaging, standalone | $39 | For interim monitoring or recall visits between exams. It’s already included at no extra charge in every comprehensive exam. |
Glasses and contact lens prices depend on what you pick, and the optical team quotes everything for you in writing before ordering.
FAQ
Frequently asked questions
How long is a first visit?
What ages do you see?
Do I need an appointment for glasses adjustments?
Can I bring an outside prescription to your optical shop?
How long do glasses take?
Do contact lens exams include trials?
Will my eyes be dilated? Is there an alternative?
What is myopia management, in one paragraph?
Can you see me today for a red eye or something in my eye?
What’s your cancellation policy?
Still have a question?
Call the front desk, or book online whenever you’re ready.