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

Humana

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

Medicare

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

 

 

Major Medical Insurance Companies that REQUIRE PreAuthorization

 

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

 

Insurance Companies that we DO NOT ACCEPT (Patients can pay privately)

Major Medical Plans that we DO NOT ACCEPT

1199

HealthFirst or FirstHealth

NO FAULTY (Auto Accident Coverage)

 

Health Republic

Oscar or Compass

BCBS Pathways -Prefix JB, JC, JL, JLJ

Liberty Health

Spectera

HIP Select

MDNY

TriCare

Emblem VYTRA

MEDICAID

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

 

 

VISION PLANS WE DO NOT ACCEPT (Patients can pay privately and submit claim as an “outside” provider)

Mediblue

BlueView Vision (administered by EyeMed) Mediblue

EyeMed (Access, Insight + Select) Spectera – United Health Care Vision

March Vision (all Medicaid Plans) Superior Vision, a division of VersantHealth

UFT