Please note: We do not accept Vision Services Plans (VSPs) nor do we bill any vision or eye insurances. We bill only medical health insurances as any other specialist (cardiology, orthopedics, etc) would. You are receiving a thorough medical evaluation of the eyes along with additional refraction services (measurements of the focusing power of the eye and need for glasses prescription). The latter may have some overlap with the care provided by other eye professionals. See below.
We currently accept the large number of insurances listed below. If we are out of network with your insurance company, the cash rate will apply.
Self- and cash-pay patients currently receive a significantly discounted rate if our practice is not currently enrolled as an in-network provider with their insurance. (As of 1/12/2026, cash pay for new visits is $225 and for return visits is $150 with an additional $40 for refractions (see below for additional information). There are additional costs for complex diagnostic testing, including sensorimotor exams for strabismus.
Please note: we are not a vision services provider and do not participate in vision services programs or plans (VSP). But a patient with a VSP can still be seen at our practice. We perform complete medical eye evaluations that are billed under the medical portion of a patient's medical insurance. If the visit is not covered by the patient's medical insurance, the patient will be expected to pay for the visit at the time of the visit. Then the patient can take the receipt and submit it for personal reimbursement with their VSP, which may pay all or only a portion of the billed amount.
A note about refractions, which is the determination of the eye's state of focus, which is considered separate from the medical aspect of the visit. We will bill the insurance company, whose policies vary. Sometimes, depending on one's insurance, it is covered even under the medical portion of the insurance. In other situations, refraction is not covered at all, in which case, it will be billed at the cash rate of $40. (Again, the patient can always submit the receipt for the refraction to their VSP for personal reimbursement). The only exception is Medicare of any kind and some Medicaid programs such as Caresource and Humana Ohio Medicaid which do not reimburse for refraction at all. Cash payment for the full refraction rate ($40 as of 1/12/2026) will be expected at the time of visit. Of not, this rate is still much less expensive than that charged by many practices and more cost effective and convenient than if the patient has to go elsewhere to get a separate optometric exam just to get the refraction for glasses.
No show fees - if the patient no shows a visit without giving us 24 hours notice by voicemail, email, or self-cancellation via a link sent by text, we reserve the right to charge a $25 no show fee.
Insurances we accept:
Aetna
Amerihealth Caritas
Anthem Blue Cross/Blue Shield (Except HMO plans)
Buckeye Insurance
Ambetter - does not reimburse for refractions
We no longer take Allwell, Wellcare, or Buckeye Medicaid.
Cigna
Custom Design Benefits
FEP - Federal Employee Blue Cross Blue Shield
GEHA - government employee health care
Humana
Medicaid of Ohio
Amerihealth Caritas
Caresource - Caresource does not reimburse for refractions and we are not under contract with Superior Vision which is the vision services plan for Caresource.
Humana Health Horizons Medicaid - this insurance does not reimburse for refractions;
Molina
United Health Care Medicaid
Medicaid of Kentucky
Wellcare of Kentucky with Avesis - no new patients
Medical Mutual (except HMO plans)
Medicare (pure Medicare plus the following)
Aetna Medicare
Anthem Medicare
Humana Medicare
Railroad Medicare - Palmetto
United Health Care Medicare
Secondary Supplemental Insurances for Medicare accepted include
AARP
Aetna
Anthem Blue Cross Blue Shield
Cigna
Medical Mutual
Tricare for all
Marpai
Ohio PPO Connect
Tricare East - Military (Humana)
Tricare of Life is not accepted as a primary insurance - they refuse to take on additional ophthalmic providers on their panel
United Health Care
United Medical Resources
Credentialing with other insurance companies are ongoing.
