Insurance Plans
The doctors at Advanced Eye Care & Surgery are currently providers for the following insurance plans. For plans not listed, please call 248-2424. Please call our staff prior to your appointment to verify your benefits.
Access Vision
Aetna
Ameritas
Assurant Health
BCBS Federal
BeechStreet
Benefit Planners
Blue Cross & Blue Shield
Cigna PHCS
Cigna Vision
Coast to Coast
Comp Benefits
ECPA
EverCare STAR+PLUS (Medicaid)
EverCare Health Plan for People with
Limited Income (Medicare)
EyeMed
Eyetopia
First Health
Fiserve Health
Galaxy Healthcare Network
GEHA
GPA
Great-West Healthcare
Guardian
Health Smart
Humana Choice Care Network
Humana PPO
Lumenos
Medicaid
Medicare
Meritain Health
Multi Plan Network
Mutual of Omaha
Outlook Vision Services
Principal Health Care
Principal Life Insurance
PHCS
Protective Vision Plan
Reliastar
RR Medicare (Pacific Railroad Ret.)
SAMBA
Superior Health Plan / Network (CHIP)
Superior Health Plan / Network
STAR Health (Foster Care)
Superior Vision Services
The Loomis Co.
Texas Municipal League
Texas Workers Compensation
Tower Life Ins.
Tricare for Life
Tricare Standard
Unicare
United Healthcare (UHC Medical Plans)
VCD Vision Care Direct
VisionCare Plan
VSP Vision Service Plan
501 E. Palm Valley Blvd
Round Rock, TX 78664
512-248-2424
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Reproduction without written permission is prohibited.
We participate with many Medical Insurance Plans as well as various Vision Plans. Our billing staff would be happy to answer any of your questions concerning insurance at 512-248-2424.
Why didn't my insurance pay for my exam?
There are two types of insurance that cover eye care. Medical Insurance and Vision Insurance. Advanced Eye Care & Surgery must bill the appropriate insurance as legally directed.
Medical Insurance - (Medicare/Medicaid, Blue Cross & Blue Shield, etc.)
This type of insurance provides benefits for the treatment of medical problems including medical eye problems. To obtain coverage under medical insurance, a symptom or complaint indicative of eye disease, eye injury, or a chronic medical condition is the reason for your visit. Although the examination that you receive may be the same or similar to previous visits, the reason for the exam and the doctor's diagnosis dictate how we must bill our patients.
Vision Insurance - (VSP, EyeMed, etc.)
This type of insurance covers routine vision care (i.e. regular eye exams for glasses and contacts) when no medical eye problem or related complaint specifically exists.
Common Misconception #1:
I came in for my yearly eye exam - shouldn't it be billed to my vision insurance? If you have a medical concern such as cataracts, blurry or dry eyes, red eyes, or any Medical Diagnosis then your medical insurance must be billed.
Common Misconception # 2:
Why do I have a charge for a "refraction fee"? A refraction is a test generally used to determine how well a person sees. Refractions may be necessary for the physician to diagnose your eye condition. If you have a medical problem, your visit must be billed to your medical insurance and you may still need a refraction. Unfortunately, refractions are not covered by some insurance companies, such as Medicare, even if a patient has glaucoma, cataracts, etc.
Payment Policy:
Payments are due at time of service unless covered by insurance. We expect and appreciate all insurance co-payments and deductibles to be paid at time of service. It is NOT our intent to bill for co-payments and/or deductibles.
Insurance claims not paid by your insurance plan after 60 days are your responsibility.