BEFORE YOUR VISIT

Before Your Visit

Before your visit to Eye Care Specialists, please review the following information to make your experience as smooth & successful as possible.

HAVE QUESTIONS?

Ask one of our Eye Care Experts, obligation free. Call us today at 781-769-8880 or CLICK HERE to fill out our Online Contact Form.

Make sure you have called your PCP for a referral if you have an HMO/EPO/POS plan
You will be expected to sign a referral waiver if your insurance requires one and we do not have a referral on file (limit of 2)
We only accept VSP and Eyemed vision plans. We do not accept: Davis, Spectera, Superior vision. if your insurance is credentialed with any of these three, you must inquire about a medical visit.

Please bring the following to your appointment:

Insurance card(s)
Photo ID
Copay
List of medications (if applicable

Glasses/contacts
Completed & signed demographic sheet (if not already signed in 2024)

What is the difference between a MEDICAL and ROUTINE/VISION eye exam?

A routine eye exam produces a final diagnosis of either nearsightedness, farsightedness or astigmatism. It is defined by insurance companies as:

An office visit for the purpose of checking vision
Screening for eye disease
And/or updating eyeglass or contact lens prescriptions.

VISION PLANS:

(Eyemed, VSP) cover routine vision care and are designed to determine a prescription for eyeglasses, provide discounts on correction (eyeglasses / contacts), and to screen the internal and external health of an eye in a healthy person without known eye disease.

MEDICAL INSURANCE:

Provides coverage when medical conditions (i.e., diabetes), eye conditions (infections, dry eyes, and cataracts) or an eye disease (Glaucoma, or retinal diseases) is present and requires diagnosis, management, & treatment as well as communication with another physician.

If the provider notates any medical conditions in your eye(s) during your exam, your exam must be billed through your medical insurance NOT your vision insurance. This is because your vision insurance will deny any claims with medical diagnosis. Generally, when you see an Ophthalmologist it is for a Medical exam.

Examples of "medical conditions" are listed below: