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Will insurance cover my visit?

All Eye Health Services physicians are participating providers for Medicare, various vision plans, HMO’s and managed care products. Insurance coverage for eye exams varies.

Some plans only cover routine well eye exams. Other plans will not pay for your exam unless you have a medical eye condition or disease.

If you are not sure of your coverage for routine or medical eye care, it is best to contact your insurance carrier’s member services or your employer’s human resources department before your visit.

When is my co-payment due?

Payment of co-pays, deductibles and non-covered services is expected at the time of your visit.

Are there services not covered?

A refraction (the determination of the eye’s refractive error for the best corrective lenses to be prescribed), is a non-covered service of Medicare Part B.

There is a fee for this non-covered service and is expected at the time of your visit.

For Commercial, Medigap, HMO and PPO insurances, if coverage exists under these plans, claims will be submitted.

Eye Health Services will submit claims for all covered services to your insurance carrier. Our billing specialists are happy to assist you with any questions you have regarding your account.

They may be reached at:

(617) 472-5242 or toll-free at (800) 336-4389

Do I need a referral?

Insurance companies strictly enforce regulations regarding referrals. If your insurance plan requires a referral, please contact your primary care physician before your visit to Eye Health Services.

Do you have hours on Saturdays?

YES! Saturday hours are available at specific locations, however routine calls are handled during regular office hours, Monday through Friday, 8:00 am to 5:00 pm

What information should I bring?

To assist us in facilitating your appointment, please bring the following information with you:

  • Insurance information and (if required) referral for medical visit.

  • Vision plan information for routine visits and eyewear

  • Name, address and phone number of your Primary Care Physician

  • Name, address and phone number of current pharmacy

  • List of current medications and dosage you are taking

  • Previous eye care history

  • Current glasses and contact lens specifications


What should I expect for my visit?
  • For a routine exam, plan to spend one hour.

  • Initial exams for pediatric patients will last approximately one and a half hours.

  • Retinal exams are approximately one and a half to two hours. Retinal patients will have both eyes dilated for all retinal visits and procedures. A driver is required.

  • Diabetic patients, please notify the front desk staff if you require a snack.


What if I have an emergency?

If you have a sudden onset of symptoms that require immediate attention, we strongly urge you to call an office location and we will schedule an appointment at one of our offices as soon as possible.

Our physicians are available 24 hours a day, 365 days a year.

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