Insurance Information

Our insurance coordinators deal with many insurance companies. Some companies offer up to six medical plans. Because many companies frequently change policies, it is sometimes difficult to accurately estimate our patient’s insurance co-payment. Many insurance companies will not give out fees until after the treatment is completed. As a courtesy, we ask that you keep us informed of any change to your insurance. It is important that all information about you is current.

Co-Payment: All co-payments are payable when you check in at the front desk.

HMO Patients: If a patient comes to us with a problem that they expect to be covered by medical insurance, (biopsies, tumors, infections, deformities) they must have a referral from their primary care physician. A referral from a dentist is not adequate for medical insurance coverage. Obtaining a medical referral is the patient’s responsibility. We cannot obtain the referral for you, and the referral cannot be obtained retroactively. If you do not have a referral, we will be happy to see you on a cash basis, but your medical insurance company will not pay for your treatment.

Medicare Patients: Medicare pays us directly for your care. You are responsible for any deductible and co-insurance. If Medicare denies your procedure, you are responsible for the charges.

Refraction:   A refraction is performed to determine your prescription for glasses and or contact lenses.  This billable service is CPT code 92015 and is a non covered service under Medicare.  This procedure is always out of pocket.

Private and Group Insurance: As a courtesy, we will file your insurance claims for you. Upon receipt of an insurance payment, any balance due will be billed to you. If you have deposited an excessive co-payment, it will be refunded to you.

If you have any problems or questions, please ask our staff. They are well informed and up-to-date. Please call if you have any questions or concerns regarding your initial visit.

We accept many insurance plans. Please view the table below to see what plans we accept. 

If for some reason you don’t see the plan you have, please give our office a call at San Angelo Office Phone Number 325-947-2020 and a member of our staff will assist you with your plan benefits and coverage. 

Routine Exams: Did you know that many medical insurance plans will pay for an annual eye wellness exam? Call our office and a member of our staff will find out if your medical plan covers an annual eye wellness exam. An annual eye wellness exam includes a prescription for glasses. 

Accepted Commercial Medical Plans 
 


Blue Cross Blue Sheild
Aetna
Cigna

United Healthcare
Humana
PHCS
Multi Plan
WebTPA (non Shannon plans)
Scott & White 
GPATPA
Healthsmart
 
 
 

Accepted Government Medical Plans
Medicare • Medicaid • Military 


Medicare Part B
Medicare Rail Road
Tricare
Veterans Choice Program
Traditional Medicaid
FirstCare Star
Superior Health Plan Star
Superior Health Plan Star Plus
Superior Health Plan Foster Care
Superior Health Plan CHIP
Molina Healthcare of Texas – CHIP
Molina Healthcare of Texas – STAR
Molina Healthcare of Texas – STAR PLUS
Celtic Health Texas

Accepted Vision Plans
 


VSP
EYEMED
SPECTERA
DAVIS VISION
FEDERAL BLUE
ALWAYS CARE
SUPERIOR VISION
AVESIS
Block Vision
Eyetopia
MES Vision
VBA
Opticare