Insurance

The following is a list of the insurance plans used most frequently by patiens at Eyecare.Healthcare. Some of these plans require that you obtain a written or electronic referal from your primary care physician for a " specialist" visit to be covered. If your plan requires a referral you must obtain it prior to your visit. Most insurance plans will require that you pay either a co-pay or deductible towards your visit. Some vision plans provide for basic eyeglasses and allow patients to upgrade to premium products. other vision plans provide a discount off our usual and customary fees for eyeglasses and/or contact lenses. All payments for co-pays, deductibles, discounted material fees and udgrade fee must be made at the time of the initial service. We will submit insurance claims with all remaining companies. Sometimes insurance plans require that a percentage of the remaining allowable fees must be padi by the patient. patients will be billed for outstanding balances after the claim has been processed.

Major Medical Insurance Companies that DO NOT Require Referrals

Aetna	Cigna	Emblem	EmpireBCBS	MagnCare	Medicare	MVP	Oxford	UHC
ChoicePOS	Indemity Plans	GHI-EPO	EPO	Call in Advance	Indemity Plans	“Select Care^” PPO	*	*
ChoicePOSII	OpenAccess	GHI-PPO	PPO			“Select Care^” EPO	#	#
MedicarePPO	PPO							Community
OpenAccess Elect Choice								AARP Medicare Cmplt Plan 2
OpenAccess HMO
OpenAccess PPO
OpenAccess Select

- “NO REFERRAL REQUIRED” is written in a black box on the back of the patient’s insurance card

# - “No” for Referral Required on Check Members Benefits page of the Insurance companies Provider Website

^ - MVP “Select Care” is an alliance with Cigna. All claims are processed by Cigna, not MVP

Major Medical Insurance Companies that REQUIRE Referrals

Aetna	Cigna	Emblem	EmpireBCBS	MagnaCare	MVP-Vets	Oxford	UHC
ElectChoice	HMO	Child Health Plus	AccessHMO	Call in Advance	Requires Pre-Authorization	*	*
HMO		Choice Plus Direct	BronzeBlue Access GEPO			#	#
QPOS		Emblem Health	BronzeBlue Access HMO				ChoicePlus
Managed Care		Essential Plan	Gold Blue Access HMO
Select		GuildNet Gold Plus	HMOs				Empire
SelectChoice		HIP	POS				EPO
		Managed Long Term	Silver Blue Access HMO				PPO

- “IN-NETWORK REFERRAL REQUIRED” is written in a black box on the back of the patient’s insurance card

# - “Referall Required”- Referral Required on Check Members Benefits page of the Insurance companies Provider Website

VISION PLANS WE ACCEPT – All Require Pre-Authorization

Davis Vision, a division of VersantHealth

EyeMed – Advantage (Legacy), AetnaVision, Walgreens Discount, TeamCare Advantage

March Vision (Medicare Plans Only)

VSP – Vision Service Plan

Major Medical Plans that we DO NOT ACCEPT (Patients can pay privately)

1199	HealthFirst or FirstHealth	NO FAULT (Auto Accident Coverage)
	Health Republic	Oscar or Compass
BCBS Pathways -Prefix JB, JC, JL, JLJ	Liberty Health	Spectera
HIP Select	MDNY	TriCare
Emblem VYTRA		AARP Medicare Cmplt Plan 1
FIDA Medicare/Medicaid	All MVP Plans, except “Select Care”	AARP Medicare Cmplt Essential + Mosaic
Fidelis	MVP Exchange Plans	Union Plans
WORKERS COMPENSATION		Vista Plan Administers