Insurance

Major Medical Insurances

• Blue Cross Blue Shield PPO- Bringing you comprehensive health benefits tailored to your needs.

• UnitedHealthcare PPO - Offering you a network of top-tier medical professionals and facilities.

• Medicare Part B - Ensuring you get the care you deserve without any hassles.

Coverage for vision therapy varies based on the insurance plan. Some plans cover it as a medical necessity, while others might not. We recommend contacting your insurance provider or our office for specific details.

If you have another provider or a specific plan, please contact our support team to verify coverage.

Vision Insurances

VSP (Vision Service Plan) - Recognized for its extensive coverage of eye care and eyewear.

For detailed coverage options or if your vision insurance is not listed, please reach out to our vision care department.

Get in Touch

Not sure if your insurance is accepted? Our friendly support team is here to assist you. Reach out today, and let's ensure you get the care you deserve.

Phone: (630) 323-7300
Email: billing@clarendonvision.com

Understanding Vision Therapy Coverage: Why Isn't It Always Covered?

Vision therapy is a clinically-proven and effective treatment for a variety of visual disorders, ranging from convergence insufficiency to amblyopia. Yet, many individuals seeking this treatment find that their insurance does not cover the costs. Why is this the case?

• Classification of Vision Therapy: Many insurance providers classify vision therapy as "educational" rather than "medical." This classification stems from a belief that vision therapy is more akin to tutoring for visual skills rather than a medical necessity. As a result, they categorize it similarly to how dyslexia treatments might be viewed—beneficial, but not medically essential.

• Lack of Standardization: While there are standardized protocols in vision therapy, each program is highly individualized to the patient. This makes it difficult for insurance companies to define a clear-cut, standard treatment plan akin to other medical treatments, making coverage decisions complex.

• Historical Misunderstandings: In the past, there was skepticism around vision therapy's effectiveness. Although more recent research and clinical evidence have demonstrated its benefits, some insurance providers may still operate based on outdated perspectives.

• Cost-Benefit Analysis: Insurance companies often conduct cost-benefit analyses to determine which treatments they'll cover. Even if vision therapy is beneficial, if its perceived benefits (in the insurance company's view) do not outweigh the costs, they might not offer coverage.

• Limited Advocacy: Medical treatments that have robust advocacy, either from pharmaceutical companies or large medical associations, often get more attention from insurance providers. Vision therapy, being a niche area, might not receive as strong of an advocacy push.

• Specific Policy Limitations: Many insurance policies have specific exclusions for treatments they deem "experimental" or "not widely accepted." While vision therapy doesn't necessarily fall into these categories, it may not be explicitly included in many plans.
  
  

​​​​​​​Demystifying Myopia Management: Why Isn't It Always Covered by Insurance?

Myopia, or nearsightedness, is increasingly prevalent, especially among children. Myopia management encompasses various strategies and treatments to slow down its progression, potentially reducing the risk of severe vision problems later in life. Yet, many find that their insurance doesn't cover these preventive interventions. Why?

• Preventive vs. Corrective Treatment: Traditional approaches to myopia, like prescription glasses or contact lenses, are corrective solutions. Myopia management is preventive, aiming to slow the progression. Insurance companies often prioritize immediate corrective treatments over long-term preventive strategies.

• Classification Challenges: Some insurance providers may categorize myopia management techniques, especially newer ones, as "experimental" or "not widely accepted." This classification can serve as a reason to exclude them from coverage.

• Cost-Benefit Analysis: Insurance companies continuously assess the cost-effectiveness of treatments. The long-term benefits of myopia management (like reduced risk of more severe eye conditions) might not always align with the short-term financial evaluations made by insurers.

• Limited Recognition: While the eye care community recognizes the benefits of myopia management, it hasn't always been translated into broader medical recognition. Lack of widespread endorsement can influence insurance coverage decisions.

• Lack of Standardization: Myopia management can involve various techniques, from specialty contact lenses (like Ortho-K) to low-dose atropine. The diversity of approaches and lack of a singular standard treatment can make it harder for insurance companies to set coverage policies.

• Perception of Elective Treatment: Some insurers may view myopia management as an elective or optional treatment, especially when traditional corrective measures (glasses or standard contacts) are available.

Navigating Insurance Coverage? We've Got You Covered!

Understanding your health and vision insurance can often feel like trying to decipher a foreign language. With terms like "deductibles," "co-payments," and "exclusions" thrown around, it’s easy to get lost. But don't fret! At Clarendon Vision Development Center, our expert team is here to translate the complexities and guide you seamlessly through your insurance queries.

Got Specific Insurance Coverage Questions? Reach Out Today!

Whether you're curious about coverage for a particular procedure, need clarity on out-of-pocket expenses, or are simply trying to understand the terms of your policy, our team is ready to assist. With a dedicated and knowledgeable staff at your disposal, you can be confident in getting the answers you need.

Contact Clarendon Vision Development Center now! We’re committed to providing clarity, ensuring you can utilize your benefits to their fullest. Call or text us at (630) 323-7300 or drop us a message at billing@clarendonvision.com – we're eagerly waiting to assist.