What are the best vision insurances out there?
"Next to nothing" is relative I guess. VSP is probably the best vision plan out there, but that isn't saying much. In general, vision plans play considerably less than medical plans that have vision coverage. As for Wal-Mart being the only place that takes VSP where you live, you are most likely thinking of a different vision plan. I don't believe any Wal-Mart can accept VSP because of the doctor not owning the optical. Plus I have never heard of any area where no private practice accepted VSP.I've heard a lot of ODs say on here that VSP isn't as bad as the others. We don't take VSP at our office because it reimburses us next to nothing. I don't know a lot about insurances but I'm assuming it has something to do with location. Wal-Mart is the only place that takes it where I live.
Also, they aren't insurance. They are discount plans that pay (poorly) for an eye exam a discount on glasses/contacts.
(excuse my butting in as I'm not in OD school or even pre-OD)
I've seen this stated before and I'm a little confused. I have a vision plan (what I would call "vision insurance") and paid nothing for my eye exam and nothing for my glasses. I don't see how this squares up with your statement. Was I given a 100% discount? Surely the optometrist must have been paid something for performing my eye exam and the optician must have been paid something for that glasses that I got.
Sure, but it's not like medical insurance, which you can use throughout the year pretty much as often as you need it. Vision plans don't work that way. You get one exam and a discount on glasses (in your case a 100% discount) per year and that's it. It would be like having a yearly routine physical covered and calling it "Yearly Routine Physical Insurance". I guess it's really a semantics issue that isn't all that important, I just like to argue.
And you're right, the doc probably got paid, but most likely not very well. I know I take a big hit on exam fees with even the least horrible (best) vision plan I accept. But hey, I'm the idiot who accepts it, so I can't bitch too much.
Thanks for the explanation. I didn't realize that the only thing covered was one exam per year and my glasses. (I've only been to the OD once, and it was for a routine exam.)
Heh, flynnt, no exam is routine, finding no medical condition is a finding =). Sorry had to say it, had a professor that always said that and it brought back memories
Nova2010,
I think we should readjust our perception of what vision insurance really is. In general, vision insurance are really prepaid vision care and not really insurance at all. Insurance means that you are paying for the prospect that you might nor might not get a problem. However, in vision care, it is almost a certainty that eye sight will change. Thus, the concept of vision plans.
Therefore, vision plans were never meant to encompass medical problems and optometrists and the public should be dissuaded into thinking that the two shall mix.
"Best" depends on whether you are the patient or the office. Most "vision insurances" pay crap. We get paid the most by people that have vision coverage with their medical insurance, the best I have seen is BCBS. The next best-paying is sadly Medicaid. VSP is definately the best "vision coverage," although not amazing is definately way better than the rest. Also really easy to verify and file, saves tons of time. My least favorite is Spectera, there's is hard to understand and barely pays anything.
CPW, are you a provider for Spectera or Eyemed? If so, why?yeah, we call is Spec-terrible around these parts
CPW, are you a provider for Spectera or Eyemed? If so, why?
I am not a provider for Spectera. I am, however an Eyemed provider because I'm currently at Lenscrafters and they require it in the owning doctor's contract.
I am not a provider for Spectera. I am, however an Eyemed provider because I'm currently at Lenscrafters and they require it in the owning doctor's contract.
I've heard a lot of ODs say on here that VSP isn't as bad as the others. We don't take VSP at our office because it reimburses us next to nothing. I don't know a lot about insurances but I'm assuming it has something to do with location. Wal-Mart is the only place that takes it where I live.
Next to nothing?
How much do they reimburse?
I know most insurances wont pay a lot, but I thought VSP was one of the decent ones.
Independent Contractor violation alert!
I am currently an EyeMed provider as well, and honestly think they are terrible.
Most vision plans like Davis, Spectera, Superior, etc. will reimburse a maximum of $45 for a "routine" exam/refraction. However, if you fit the pt. for CL's, you can charge a "fitting fee" and that fee is deducted from their total CL coverage available. Also, plans like BCBS and United Health usually will reimburse more. For example, at my optical, Dr charges $55 for a routine exam, BCBS will pay in full but Spectera will only pay $45. Personally, I think that most vision insurances suck but without them people probably would not get their eyes checked on a regular basis. However, there is a misconception about vision insurance - it was not meant to cover everything. The patient should not expect "full coverage." If we could get them to understand this, we would be a lot better off.
Wow, $55 is REALLY low. Lower than most womens' haircuts. How much does a local dental exam cost?
I really wish Docs would quit accepting these plans.
Again, it's really better thought of as varying degrees of bad. At my office, VSP pays $63.50 for exam and refraction, not great, but better than other plans like Eyemed, which will pay as low as $35. Medicaid pays me more than any vision plan, somewhere around $70 I think.
I thought VSP would pay more than that, since when you COB they give you 71 for the exam.
Anything less than 60 is ridiculous though. All the resources an office puts towards that patient seems like money would actually be lost unless the pt orders stuff above and beyond their coverage.
Best Buy charges 100 dollars to reformat a hard drive, Jiffy lube charges 40 for an oil change, hell, the waitress easily makes 20 dollars tip waiting 1 table of 6.
Wow, $55 is REALLY low. Lower than most womens' haircuts. How much does a local dental exam cost?
I really wish Docs would quit accepting these plans.
Okay, so, basically all we take at our office is Davis and EyeMed. We take others but those are the main ones. We don't take VSP, it isn't popular at all in our area. I sat down with the doctor yesterday and asked him about it, and he said he doesn't take VSP because they would only reimburse him about 30 bucks for an exam. He also said that they won't let you take any other insurances that reimburse more than they will. (?) We get a lot more from EyeMed, normally about 50 bucks I believe.
I agree. VSP pays more than $30 and there is no rule that states you can't take any insurance that pays more than VSP. I get paid about $78 for a VSP exam and I also take plans that pay double that. Is this a commercial or a private office?Sounds like your doctor doesn't know what he's talking about.
I don't know, all I'm saying is I asked him about it and that's what he said. He also said it does depend on location, and that's why there are very few VSP providers where I live.. we get calls all the time from people who have it saying that they can't find anyone who takes it. And he owns the Pearle I work at... I suppose that means it's still commercial even though it's a franchise? I was always a little confused about that.
As I understand it, you can only be a VSP provider if you own your own optical. I don't believe you could be a provider at Pearle vision.
I have been told by other OD's that you can negotiate with some vision plans for higher payment...does anyone agree or disagree?
thanks for all the information you all have shared everyone. Could someone give me an insurance that pays for getting glasses every 1 year? since most insurances only pays for new glasses every 2 years (example: blue cross blue shield does 2 years).
Also, eye exams are covered every 1 year across all insurances, is that correct?
thanks!