Patients that are refit, come in for follow-ups so I guess the answer to your question is that the visits are the same. The difference is that I do not charge a global fee for refits like I do for new fits. This is actually changing in my clinic at the first of the year. All refits will be charged a global refitting fee, which will be less than a new fit, and will cover two or three visits depending on the lens and the wearing schedule. Follow-ups do include lens changes. A refit simply means that I am taking an established contact lens patient out of their current lenses and into another type of lens. The most common example in my clinic would be taking an AV2 wearer and refitting them into a PureVision or Night & Day.