Insurance
Insurance Plans may vary by location and are subject to change. Please call to verify.
Insurance List for Arizona
Advantica
Aetna
AHCCCS
Always Care Benefits/First Look
Avesis
AZFMC
AZ Priority Care
BCBS of AZ
Block Vision
Bridgeway Solutions
Care 1st Health Plan
Cenpatico
Cigna Health Plan
CMDP
Corizon
Correct Care Solutions
Coventry
Davis Vision
Envolve Vision
Eye Specialists of Arizona Network
Galaxy
Health Choice
Health Net
Health Smart
Humana
Humana Vision Care Plan
IECN
Inmate Health Services
MES Vision
Medicare
Medicare Rail Road
Mercy Care Plan
Mercy Maricopa Integrated Care
Multi Plan/PHCS/Moda Health
National Preferred Provider Network/Stratose/Zelis
National Vision Administrators (NVA)
Phoenix Health Plan
Sight Care
Spectera
Three Rivers
Tricare
TriWest/VA
United Health Care
United Health Care Community Plan
University of Arizona Health Plans
Vision Care Advantage
VSP
Insurance List for New Mexico
Always Care Benefits/First Look Vision
AmeriGroup
Avesis
BCBS of NM
Block Vision
Cigna Health Plan
Coventry Health Plan
Eye Med Vision Care
Health Smart
Humana
Humana Vision Care
March Vision
Medicaid
Medical Eye Service Vision
Medicare
Medicare Rail Road
Molina Health Plan
Multiplan/PHCS/ Moda Health
National Vision Administrators (NVA)
Presbyterian Health Plan
Prime Health Plan
Sight Care
Spectera
Three Rivers
Tricare
United Health Care
Vision Care Advantage
VSP
Insurance FAQ
What Makes Vision and Medical Insurance Different?
Medical insurance can be used for medically related vision needs like surgery, emergency care and treatments for eye conditions like glaucoma or infections. Vision Insurance is better described as a benefit that offsets the cost of vision needs like wellness exams, refractions, and can include allowances for lenses and contacts.
When Can I Use My Vision Insurance?
Vision Insurance can be used for routine eye exams that allow you to get your refraction and a new prescription, however, you will not be covered for any medical diagnoses or a more comprehensive eye exam that would screen you for the development of eye conditions like cataracts and glaucoma.
How Often Can I Use Vision Benefits?
Vision Benefits typically can only be used once a year or once every other year, depending on the plan. Because of this, if you want to use your benefits for a refraction and lens or contact benefits, you will need to do both during the same appointment in order to avoid being billed separately for both.
Why do I have to Pay for a Prescription When I have Vision Insurance?
If you come in for a Comprehensive Eye Exam, meaning you are screened for eye conditions and are given a more all-encompassing exam, your medical insurance will be used to cover it and not your vision insurance. You would use Vision Insurance for your prescription and glasses or contacts benefits. However, your vision insurance cannot be used at the same appointment as you use your medical insurance because legally, two insurances cannot be billed for the same encounter. This means if you want to get both your comprehensive exam and an updated prescription, you will need to either pay separately for the prescription or come in for a routine exam and refraction on another day to use your vision benefits and receive your prescription.
Can Insurance be Used to Cover LASIK?
Typically, not. LASIK is almost always considered an elective procedure and would therefore not be covered by insurance. However, some businesses do offer programs to help their employees pay for LASIK. At Southwestern Eye Center, we also offer CareCredit as a financing option to be able to make affordable payments over time.
Can Insurance be Used for Eyelid Surgery?
Upper Eyelid surgery can be deemed medically necessary based on precise measurements. If the sag of your eyelid is inhibiting your vision, you may be eligible for coverage. If you opt to do more cosmetic fixes along-side the medical surgery, those will not be covered.
How Do I know if I'm in Network?
The best way to find out if you are in-network for your appointment is to call to verify for the most accurate and up-to-date information.