Insurance Plans & Patient Forms

Patient Information Forms

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Insurance Plans

There are two types of insurance that cover eye care, Vision Insurance and Medical Insurance. Michigan Vision Institute must bill the appropriate insurance as legally directed.

Vision Insurance – (EyeMed and VSP, 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. Following is a list of some common eye conditions for which Vision Insurance would be billed:

Amblyopia – lack of development of vision in one eye that is not correctable with lenses

Anisometropia - unequal refractive error

Astigmatism - misshaped curvature of the eye

Emmetropia - normal eyes

Hyperopia - farsighted

Myopia - nearsighted

Presbyopia - bifocals

Medical Insurance -

This type of insurance covers the treatment of medical problems including medical eye problems. 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. Following is a list of some common eye conditions for which Medical Insurance would be billed:

Age Related Macular Degeneration – deterioration of the macula (central area of the retina)

Blepharitis – swelling or inflammation of the eyelids

Bullous Keratopathy – condition in which the cornea becomes permanently swollen

Cataracts – a clouding of the eye’s natural lens, which lies behind the iris and the pupil

Conjunctivitis – swelling (inflammation) or infection of the membrane lining the eyelids (conjunctiva)

Corneal Edema – swelling and inflammation of the cornea

Corneal Erosion – breakdown of the outermost layer (epithelium) of the cornea

Corneal Injury – injury crystal clear (transparent) tissue covering the front of the eye

Diabetes – a group of diseases characterized by high blood glucose levels

Diabetic Retinopathy – diabetic eye disease caused by changes in retinal blood vessels

Dry Eyes – chronic lack of sufficient lubrication and moisture on the surface of the eye

Ectropion – turning out of the eyelid (usually the lower eyelid) so that the inner surface is exposed

Entropion – turning in of an edge of an eyelid, causing the lashes to rub against the eye

Eye Pain – also described as pain behind the eye, eye socket pain, shooting or stabbing pain in the eye

Floaters – tiny spots, specks, flecks and “cobwebs” that drift aimlessly around in your field of vision

Foreign Body – any object originating outside the body found in the eye

Glaucoma – buildup of pressure inside the eye that causes damage to the optic nerve

Headache – pain or discomfort in the head, scalp, or neck

Herpes Simplex – infection that is caused by a herpes simplex virus (HSV)

Iritis – inflammation of the iris

Keratitis – inflammation of the cornea

Lupus – chronic, autoimmune disease that can damage any part of the body

Nasolacrimal Duct Obstruction – tear duct obstruction prevents tears from draining normally

Ocular Hypertension – pressure inside the eye, called intraocular pressure, is higher than normal

Pterygium – non-cancerous growth that starts in the of the clear, thin tissue (conjunctiva) of the eye

Ptosis – a drooping eyelid

Rheumatoid Arthritis – auto immune disease causing inflammation of the joints and surrounding tissues

Strabismus – misalignment of the eyes, inward or outward

Uveitis – swelling and irritation of the uvea, the middle layer of the eye

*Please see Eye Conditions for a more detailed explanation of some of these more common ocular medical problems*

The doctors of Michigan Vision Institute accept many medical insurance plans including, but not limited to:

Blue Care Network

Blue Cross Blue Shield

Cigna

Cofinity

Genesee Health Plan

HAP

HealthPlus

HealthPlus Partners

Humana

McLaren Health Advantage

McLaren Health Plan

Medicare

Molina

Meridian Health Plan

MultiPlan

Priority Health

Total Health Care

Tricare

United Healthcare

If you are unsure about your insurance coverage, please contact your provider prior to your appointment.