Medical and Vision Insurance Information 

Insurance companies divide eye examinations into separate parts for billing purposes. The three more commonly used parts of an eye examination are an eye health check, refraction, and a contact lens evaluation.

The eye health check varies in involvement from a superficial screening to an in-depth diagmostic procedure depending on patient symptoms and risk factors.

The refraction is the part of an eye exam that determines the patient's need for vision correction and a prescription for glasses.

Contact lens services are additional procedures related to the fitting and evaluation of contact lenses.

Each insurance company sets its own policies as to which part(s) of an eye examination will be covered. For instance, Medicare does not cover the refraction; however, vision plans do. Any services, deductibles, co-payments, or surcharges not covered by insurance are the responsibility of the patient at the time of service.

The Focus Group

Accepts the Following Insurances

Advantra Freedom

Arcadian

Benefit Planners

Blue Cross Blue Shield

CHAMPVA

Cigna Healthcare (Open Access Plus plan for Mission/Crescent only)

Cigna Medicare Access (PFFS)

Community Eye Care

Crescent (not Well Path(Avesis) or Humana Choice Care)

 Division of Services for the Blind

Humana Gold Choice (PFFS)

MedCost

Medicare

NC Medicaid

NC Healthchoice

Railroad Medicare

Secure Horizons PFFS

Secure Horizons Medicare Direct - UHC

Tricare

Tricare for Life

UniCare (for professional services only)

Universal American Today's Option

Vision Advantage/REDS

It is the patient's responsibility to provide current and accurate medical and vision insurance benefits information and cards prior to and at the time of service. If applicable insurance cards and complete insurance information is not provided at the time of service, it becomes the patient's responsibility to make payment in full at the time of service and seek reimbursement from the insurance carrier. The patient is responsible for timely payment for any services denied due to being non-covered, for medical necessity, time restrictions, or failure to get a referral for the visit.