Total Vision
Blog Hero

How Does Vision Insurance Work?

Contact Us
A male optometrist in a clinic, crossing his arms and smiling while looking directly at the camera.

Vision insurance can be an extremely valuable resource, and it can ease the concerns some people may have about visiting their optometrist. Whether you need eyeglasses, an eye exam, or to see your optometrist about an eye condition, vision insurance can make things much more accessible. But how does vision insurance actually work?

Vision insurance works similarly to other types of insurance—you regularly make payments toward your plan so you can get financial assistance when you need eye care services. However, your plan may vary depending on your specific situation. If you don’t fully understand your plan, you can contact your provider or reach out to your optometrist for assistance.

What Is Vision Insurance?

Vision insurance is a type of health insurance that specifically focuses on eye care. It’s designed to cover several different services to help you maintain your vision and eye health. Depending on your plan, it will cover different services and often includes discounts for more advanced procedures like laser eye surgery.

It’s an ideal choice for people who regularly visit their optometrist or want more advanced, convenient coverage for eye care services. However, there isn’t a singular one-size-fits-all plan in the United States. Instead, plans are offered through several providers in the form of family plans, individual plans, or employer-sponsored plans. 

Each plan has varying levels of coverage and benefits, so it’s essential to carefully review the details before choosing a provider.

What Does Vision Insurance Usually Cover?

This is when things can get a little bit complicated. It’s important to note that coverage can vary depending on your individual plan. However, there are a few services typically covered by most plans, including:

  • An annual eye exam
  • Prescription glasses and contacts, including frames, lenses, and fittings
  • Lens adjustments or improvements, like anti-reflective coatings or transition lenses
  • Necessary diagnostic tests

Then, depending on your individual plan, you may get coverage for other services like LASIK or a medical procedure. Remember, it’s always a good idea to thoroughly read through your plan to review what is and isn’t covered. If you’re unsure, you can always contact your provider for more information.

How Do You Get Vision Insurance?

To get vision insurance, you’ll need to begin by determining what your needs are and what options are available. If you’re a full-time employee, speak with your employer to see if they offer employer-sponsored vision insurance plans as part of your work benefits. Many companies offer vision insurance as part of an employee benefits package. Typically, this is quite affordable and covers a wide range of benefits.

If this isn’t an option, you’ll need to look into individual plans from private providers. These plans typically let you pick and choose your coverage options based on your specific needs and budget. This allows you to have a more specific range of covered services but does require you to pay out-of-pocket across a set payment period.

Shopping Around for Vision Insurance

When you’re trying to choose a provider, it can help to sit down and compare different plans. Start by assessing your own individual needs and, if applicable, the needs of your family.

Some things to consider include:

  • How often you plan to visit your optometrist
  • Your budget
  • Whether you or your family members have any pre-existing conditions that need additional care
  • What exactly you need coverage for (eyeglasses, contact lenses, specific treatments, etc.)
  • If your employer offers vision insurance
  • If you’re thinking about corrective surgery in the future

Then, start looking into different providers. Make sure to thoroughly read through what their plans cover and compare them to your specific needs. Then, it’s time to think about:

  • Monthly premiums and how much you can afford to pay
  • Copays and deductibles, as these can add up quickly
  • Coverage limits or maximums for certain services
  • If you can choose your own eye doctor, or if you’re required to visit a provider within their network

By carefully considering all of these factors, you can find the right vision insurance plan that meets your needs and budget. Don’t be afraid to ask questions and seek clarification on anything that might be unclear!

A male optometrist using a medical device to examine the eyes of a female patient and look for potential eye problems.

Choosing the Right Eye Doctor for You

Once you have vision insurance in place, it’s essential to choose an optometrist who aligns with your needs and preferences. Look for a qualified professional with experience in the specific services you require—like a Total Vision optometrist. Our clinics can help take care of your vision. Find a location near you today.

Written by Total Vision

At Total Vision, we pride ourselves on ensuring healthy eyes for the whole family and work hard to help all our patients look, feel, and see better. With many locations throughout California, we continue to set new industry standards for professionalism and quality. We empower all our partners to offer leading-edge testing, treatment, and eyewear. With the support of our entire network behind each care provider, patients all over the state can enjoy consistent quality and incredible value.
instagram facebook facebook2 pinterest twitter google-plus google linkedin2 yelp youtube phone location calendar share2 link star-full star star-half chevron-right chevron-left chevron-down chevron-up envelope fax