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Benefits and Payment Guidance Vision and Medical Insurance
Optima Optometry works with a range of vision and medical insurance plans.
Plan participation and individual benefits can change, so please call the office before your visit to confirm eligibility, coverage, copays, deductibles, and non-covered services or materials.
Vision plans commonly provide benefits for routine eye exams, eyeglass lenses, frames, or contact lenses.
Medical insurance may apply when an examination or treatment addresses an eye-health problem.
The plan, diagnosis, service, authorization requirements, and network status determine how a claim is handled.
Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
Eligible patients may be able to use Flexible Spending Account or Health Savings Account funds for qualified eye-care and eyewear expenses.
Eligibility depends on the account and expense, so check your plan documents or account administrator when you are unsure.
Don't See Your Plan?
The lists above are a starting point, not a guarantee of coverage. Call (408) 247-5102 and have your insurance card available so the office can help you verify current participation and benefits.
For some out-of-network plans, the office may be able to submit a claim as a courtesy after payment is collected.
Reimbursement is determined by your insurer and is not guaranteed. Ask the office how your particular plan would be handled before receiving services.
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