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How to check your insurance benefits prior to making an appointment
How to make an appointment
What to bring to your appointment
If your eyes will be dilated…

How to check your insurance benefits prior to making your appointment

Unlike other fields of medical insurance, patients who see their eye doctor are sometimes seen using vision benefits and sometimes seen using medical insurance benefits. Some patients have both types of insurance and others have only medical insurance. In general, if you are interested in a check of your vision, complete eye examination, and glasses or contacts, you will be seen using your vision insurance. On the other hand, if your medical doctor has referred you for an examination or you are having a problem with your eyes other than needing new lenses or a routine checkup, you will usually be seen using your medical insurance benefits for a medical eye examination.

Some patients, particularly those with conditions such as diabetes or glaucoma, are allowed a complete medical eye examination each year by their health plan. This varies from one plan to the next, so we recommend you call your plan and ask.

It is important for you to know your benefits and obtain any necessary referrals prior to your examination. To help you, we recommend you follow these steps:

  1. Contact the health plan's phone number on your insurance card.

  2. If this is a medical visit, ask your health plan if a referral from you Primary Care Physician (PCP) is necessary. If so, please contact your PCP for a referral. Some PCPs will not issue referrals to their patients after the visit, so it is important that you call first. Do you have a co-pay?

  3. If this is a routine vision exam, ask the health plan if you have vision benefits.
    1. How often are you eligible for a routine vision exam?
    2. Do you have a co-pay?
    3. Do you have benefits for glasses and contact lenses?
    4. How often are you eligible for glasses and/or contact lenses?
    5. What does your insurance pay toward frames, lenses and contact lenses?

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How to make an appointment

Our goal is to make your visit to EyeHealth Northwest as convenient and enjoyable as possible. Please see our locations page and determine the EyeHealth Northwest location most convenient for you. Call the appointment number for your preferred clinic and ask to make an appointment or request an appointment online. Please let the appointment scheduler know if you are a new or existing patient. If you would prefer a particular doctor, please let the scheduler know.

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What to bring to your appointment

Please bring your eyeglasses, contact lenses, and any low vision aids you use. Your doctor will also ask you to provide a list of your allergies and medications (with dosages). This includes any eye drops, over the counter medications, or supplements used in the past six months. Your will also be asked to complete a form detailing your past medical history. In some cases, your doctor may feel it is important to obtain a copy of your previous medical records.

In order to for EyeHealth Northwest to bill your insurance properly, you will also need to bring your current insurance card with you. If your visit requires a referral from your Primary Care Physician, please bring the referral information with you as well.

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If your eyes will be dilated…

If your examination requires that your eyes be dilated, please BE SAFE! If you are uncomfortable driving after having your eyes dilated, please arrange to have someone drive you to and from your appointment.

Will you be selecting new glasses? If your eyes will be dilated and you are planning to purchase new glasses, please try to arrive early enough to browse our Optical Shop and select your frames prior to having your eyes dilated. You will be able to make a better selection when you can see more clearly.

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