Vision insurance has become increasingly important in today’s world, and not only for those who have eye-related issues. The extended use of digital devices and screens in our daily lives has led to an increase in digital eye strain, dry eyes, and other vision-related issues. Additionally, as people age, the risk of developing age-related eye conditions such as cataracts and macular degeneration also increases.
As not all health insurance plans cover the essential aspects of vision care you need, many individuals may find it worth it to opt for separate vision insurance coverage. Especially when there are some low-cost options available on the market.
What does vision insurance cover?
Vision insurance covers a variety of vision-related expenses, including:
- Eye Exams: Vision insurance typically covers the cost of annual eye exams, which are important for maintaining good eye health and detecting any issues early on.
- Glasses: Vision coverage can help cover the cost of glasses, including frames and lenses. Some plans may also cover upgrades like anti-glare coatings and transition lenses.
- Contact Lenses: Vision insurance can also help cover the cost of contact lenses, including fitting fees and the cost of the lenses themselves.
- Corrective Surgery: Some plans may also cover the cost of corrective eye surgery, such as LASIK.
- Coverage for specialized eye care: Some vision plans also provide coverage for specialized eye care, such as treatment for glaucoma or cataracts. However, the amount of coverage can vary depending on your plan.
It’s important to note that vision insurance typically does not cover the cost of medical procedures related to the eyes, such as surgery for a detached retina or treatment for an eye injury. For these types of procedures, you would need to have medical insurance coverage.
How Does Vision Insurance Work?
Similarly to standard medical plans – vision insurance will have a monthly or annual premium and provider network. But relative to the plan you choose you can either have or not have the deductible part. This is the amount you pay out-of-pocket before the insurance company starts to cover the cost of your eye care.
Vision insurance enrollment typically occurs during a specific period each year, similar to health insurance enrollment. However, there may be options available, such as qualifying life events, to obtain coverage outside of this enrollment period. Also, some insurance providers may offer vision insurance plans that can be purchased outside of the usual enrollment period, either on a standalone basis or as a supplement to an existing health insurance plan.
What are common exclusions with vision plans?
However, many individuals with pre-existing conditions may wonder if they are eligible for coverage and if there are any common exclusions with vision plans.
In general, pre-existing conditions may impact an ability to obtain eye coverage, depending on the specific condition and the insurance provider’s policies. Some insurance providers may exclude coverage for certain pre-existing conditions, while others may require a waiting period before coverage can begin.
Nevertheless, some insurance providers we work with, still offer vision insurance plans that are specifically designed for individuals with pre-existing conditions, which may include coverage for specialized eye care and treatment.
Another common exclusion is for certain services or products that may not be considered “medically necessary” under the plan’s guidelines. For example, some plans may not cover cosmetic procedures or non-prescription eyewear.
Additionally, some plans may have restrictions on the frequency of certain services, such as eye exams or lens replacements. It is important to review the details of your plan carefully to understand any exclusions or limitations that may apply.
How to choose an insurance plan to protect your eyes’ health?
We understand that choosing an insurance plan might become challenging, particularly if you are unfamiliar with the insurance industry. This is where a licensed insurance broker can help.
Our health insurance brokers at Baker Consulting can assist you with whether you’re considering which vision insurance policy will be worth it to obtain in your particular scenario. Based on your needs we will navigate the insurance market and find the best plan to fit your budget. Our broker will closely work with you to weigh the potential benefits against the vision insurance cost from different providers.
Contact us to save time and money and ensure that you have the necessary coverage for your eye health needs.