Eye Associates
Insurance & Billing Information

Providing Central Florida with Professional Quality Eye Care for the Entire Family.

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Vision Insurance & Billing

We are currently providers for most of the medical insurance plans listed below; however, our status as providers for each company may change, so it is vital that you verify our participation in your plan.

  •  Aetna – PPO, HMO
  • AvMed – PHCS Logo Only
  • BCBS – PPO, HMO
  • Champ VA
  • Champus
  • Cigna – Open Access (OA) plus only
  • Florida Hospital
  • GEHA
  • GHI – Multi Plan as the network
  • Golden Rule
  • Humana – EPO, PPO, POS, MEDI PPO
  • Humana HMO – Premier
  • MagnaCare
  • Medicaid-Share of Cost& Straight
  • Medipass
  • Medicare Part B
  • MVP
  • PCIP
  • Principal
  • Tricare – Standard & For Life
  • UHC – United Healthcare
  • UMR
  • ACCEPTED Medicare Advantage (Replacement) Plans:
  • AARP – PPO, HMO
  • Aetna – PPO, HMO
  • BCBS – PPO, HMO
  • Humana – EPO, PPO, POS
  • UHC – United Healthcare
  • Secure Horizons – UHC or AAR

407-671-5445
1928 Howell Branch Rd.
Winter Park, FL 32792

More Insurance & Billing Information

Medicare – Medicare will not cover a “routine” preventative eye examination. They will however pay for an eye examination or office visit if there is an underlying medical condition such as: glaucoma, cataracts, diabetic eye disease, eye infections, floaters, dry eyes, etc. Please note that Medicare will only pay 80 percent of the allowable amount that is billed. We will file your supplemental insurance for you if you have provided this information to us. If you do not have supplemental insurance, you will be responsible for the 20 percent that is not covered. Refractions (the determination of a glasses or contact lens prescription) are not a covered expense by Medicare and are the patient’s responsibility. Please be aware that Medicare patients have an annual deductible of $183.00 in 2017.

Additionally, some plans include “routine” (wellness visit) eye care coverage, and eyeglasses and/or contact lenses reimbursement benefits. Please call our office or fill out the form below so that we can check to see if your plan includes wellness eye care.

Vision Service Plan (VSP), Vision Care Plan (VCP), and EyeMed – VSP, VCP, and EyeMed are vision plans that only cover wellness eye examinations, glasses, and contact lenses. These plans are vision riders for many medical insurance policies such as: Aetna, Blue Cross Blue Shield, Cigna, and United Healthcare. Many patients do not have a card for this policy even if they are covered for routine eye care. Please call our office or fill out the form below so that we can check to see what your benefit is.

*Please note that for VSP our office will need the POLICY HOLDER’S social security number OR the last 4 digits of their social security number to obtain your benefit information. This is not our policy; it is VSP’s policy.

Please keep us in mind for your medical needs as well as your vision needs. Our doctors are participating providers for the above listed medical insurances for medically related office visits.

If you are planning to use your insurance benefits, please be familiar with the coverage of your policy. One of the easiest ways to learn about your coverage is for you to speak with a representative from your insurance company. Below is a list of questions you may want to ask when calling:

  • Do I have “Routine” eye care coverage (exams when there are no medical problems like cataracts, glaucoma, dry eyes, floaters, diabetes, macular degeneration)?
  • How often am I covered for an eye examination?
  • What are my copay and deductible amounts?
  • Is Eye Associates of Winter Park listed on my insurance as a “Participating Provider”?
  • Do I have any benefits to use towards glasses and/or contact lenses?

It is important to know that the information provided by your insurance company DOES NOT guarantee payment, therefore you, the patient, are ultimately responsible for all services rendered.

Our Insurance Coordinator is here to provide you with answers to questions that you may have. Please do not hesitate to call or email.

Insurance Information Form

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The Doctors are knowledgeable and friendly. If you are considering using someone else, I strongly suggest you reconsider and give this wonderful locally owned business a chance to earn your trust.

Customer

My husband and I received excellent care from all of the staff! Our questions were answered with informative information and honesty. They have the most up-to-date technology, equipment and eyewear!

Carole

Dr Barker was very thorough, courteous and knowledgeable. All the staff are very friendly and helpful and I was extremely happy with my visit.

David

I've been to visit Eye Associates a few times now. The staff is very knowlegable and friendly. The environment is warm and inviting. I wish I would have found them sooner.

Steven