“It is pretty easy for patients to get confused about the billing and cost of eye refractions at eye exams,” commented Eric Mitchell of Eyecare Medical Group in Portland, Maine. “So-we thought we should take a minute to provide some information and clarify about eye refraction billing, charges and insurances.”
One of the most basic parts of an eye exam is checking the refraction of your eyes or an eye refraction test. This allows us to determine what your best possible vision is at that point in time while wearing a prescription optical lens and gives us the basis for prescribing a prescription optical lens. The most common type of eye refraction is called a Manifest Refraction and is performed without the use of eye drops so that we can examine the eye in a natural state. If you have ever had and eye exam you are probably familiar with the “which is better, one or two” test-this is a Manifest Refraction.
Another type of eye refraction is called a Cycloplegic Refractions which is performed after the instillation of eye drops to temporarily immobilize the Ciliary Muscle of the eye. This temporarily prevents you from accommodating or “focusing” up close and is used when there is a need for an even more precise measurement of refractive error. In addition the eye drops will also dilate the pupil so the eye doctor can easily see the back of the eye to examine the retina, optic nerve and blood vessels in order to evaluate their health.
From an insurance standpoint, eye refractions are considered part of a routine eye exam. Because refractions are normally used to determine refractive errors such as myopia, hyperopia, and astigmatism, and therefore prescribe glasses or contact lenses, many insurance companies, particularly Medicare and Medicaid, do not pay for them. It's important to understand that when patients are having their eye exam, refractions are a necessary part of a routine eye exam and must be paid for out of pocket.
If you have questions about the cost of your refraction or billing questions about refraction please call Eyecare Medical Group at 888-374-2020, visit www.eyecaremed.com or facebook.com/eyecaremedicalgroup and we will be glad to assist.
Eyecare Medical Group is a leading ophthalmology practice in Portland, Maine staffed by a team of eye care specialists including eye doctors who are fellowship trained glaucoma specialists, retina specialists, cornea specialists and cataract and lens implant specialists-all board certified Ophthalmologists-as well as Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants, (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma.