At the Vision and Learning Center of Family Eyecare Associates, P.C., we make it a priority to be knowledgeable about insurance coverage for vision therapy and related services. In order to guide you appropriately, we obtain detailed information when you first contact our office.
It is crucial to understand that if you have coverage for vision therapy services under insurance, it is not included under vision care. Rather it will pertain to a medical condition (a CPT code) with a medical diagnosis (an ICD code) and therefore be reimbursable under your major medical policy.
Our experience has been that virtually all major medical carriers cover medically necessary evaluations.
Coverage for therapy itself will vary depending on your particular condition which is diagnosed following the evaluation. During a conference to review the doctor’s findings, our staff will review these considerations with you.