Stephanie Chavez, front desk, Abrams Eye Institute

Stephanie Chavez, front desk, Abrams Eye Institute. She’s part of the team that helps you during your visit.

As medical insurance for eye surgery has become more complex, patients are becoming more reliant upon the team at Abrams Eye Institute to help navigate coverage and eligibility regarding the care and treatment of their eyes. This includes the use of medical insurance as well as government programs such as Medicare and Medicaid.

The team at Abrams Eye Institute gathered some common questions posed by patients into a Q&A to help make your visit with us easier and more efficient:

Can I call your offices to get started?
If you’d like to get a head start on insurance coverage questions and the insurance process, you can call our office. When calling, make sure you have your insurance card(s) ready and be sure that they are fully up-to-date and you have all the information in hand. This helps us get you set up for your appointment.

What do I need to give the front desk when I visit?
We need your insurance cards as well as your ID. That will get us started with your visit and in processing your insurance. We keep secure copies of this information in your file. If any information changes during your course of treatment, please let us know.

Do you take vision insurance?
We do NOT accept Vision insurance. We are a medical practice, therefore we bill medical insurance for eye surgery.

What’s the difference between vision insurance and medical insurance?
Vision insurance covers routine eye exams, and certain costs for contacts lenses and glasses. Medical insurance is necessary for surgery, including eye surgeries such as cataracts and medical issues such as dryness of the eyes, redness and floaters.

What insurance companies do you work with/accept?
Medical insurance we accept includes certain providers that administer POS and PPO plans, etc. If we already haven’t reviewed your insurance to determine eligibility before your visit through your setting up an appointment on the phone, we recommend you call your insurance provider and make sure we’re approved through your plan(s).

Do you accept Medicare and/or Medicaid?
We do take both Medicare and Medicaid. As with any other insurance, limitations may apply.

How do I know if a procedure I need is covered by insurance?
After Dr. Jack Abrams makes a diagnosis, we’ll check with your insurance for coverage eligibility and terms and present you with options regarding coverage as well as about any coverage limitations.

What eye surgeries are covered by medical insurance?
Common eye surgery and treatments that are covered by medical insurance can include laser cataract surgery, pterygium removal, corneal transplants and medically approved eyelid surgery.

How much are deductibles/co-pays per visit?
Deductibles/co-pays vary by insurance plan. That information may be on your insurance card, or accessible via a telephone number listed on your card.

How much of the cost of procedure such as Laser LASIK is covered by insurance?
Laser LASIK is considered and elective surgery and is not covered by insurance. This is a good example about how you need to be fully informed about the benefits of your insurance. The team at Abrams can help you, but it’s important for you to take the time to understand what your coverage offers.

Do I have to have insurance to be treated by Dr. Abrams?
You don’t need to have insurance to be cared for by Abrams Eye Institute. If you are not using insurance, please speak with our front desk about options.

If you have any other questions about Abrams Eye Institute or medical insurance for eye surgery, please call us, use the form on the website, or post to our Facebook page. We’re very glad to help and will do whatever we can to make your visit to Abrams Eye Institute enjoyable.