What is a refraction fee?
When the doctor asks “which is better, 1 or 2”, the test is called a refraction and there is a refraction fee. A refraction determines the lens prescription you will need for glasses or contacts. It is also a necessary part of a cataract evaluation. A refraction is one of the most important parts of your eye exam and provides essential medical information for us to have as we assess your eyes and look for problems. It is separate from the MEDICAL portion of your exam which checks for diseases such as glaucoma, retinal and other systemic diseases of the eye.
Why doesn’t insurance pay for a refraction?
Unfortunately, the refraction is a NON-COVERED service by Medicare and most medical insurance plans. They consider refractions a “VISION” service and not a “MEDICAL” service. The refraction fee is collected at time of service. Separate VISION plans pay for a refraction. Should your medical plan pay us for the refraction, we will reimburse you accordingly.
How do I know if my insurance pays for a refraction?
To find out what fees may or may not be covered, you can also check with your medical and/or vision providers.