Insurance and Billing Information

OMNI Eye Specialists participates in many major health insurance plans. Coverage varies with each patient and insurance company. It is your responsibility to know your benefits. Our staff will assist you in determining your eligibility prior to your appointment.

Below is a list of our currently accepted health insurance plans. You may also download a copy for your convenience.

NOW ACCEPTING MedStar Medicare Choice and MedStar Medicaid Insurances

AARP
Medicare crossover

Aetna
HMO
Non-HMO

Banker’s Life & Casualty
Medicare crossover

CareFirst BlueCross Blue Shield
Blue Choice
Blue Preferred
Health Blue
Indemnity
Nasco
Federal Employment Program
Blue Card

Cigna
Open Access Plus, OA Plus, Choice Fund OA Plus
Open Access Plus, OA Plus Choice Fund OA Plus with Carelink
PPO, Choice Fund PPO

Colonial Penn Life Insurance Co.
An affiliate of Bankers Life and Casualty

Johns Hopkins
USFHP
EHP
Medicare Advantage
Priority Partners

Medicaid - MD

Medicare

Railroad Medicare

Tricare
Standard
Prime
Tricare for Life

UHC Commericial
Evercare
Erickson
MAMSI - MD Only
MDIPA - MD Only
Optimum Choice - MD Only
United Healthcare Community Plan - Referral
UHC Medicare

UMMS Health Advantage

Vision Insurance

Avesis
Commercial Vision
Government (Amerihealth)

Carefirst Vision Claims

Davis Vision
Commercial
Government

EyeMed

March Vision - Government (UHC Community Plan)

Spectera/UHC Vision

Superior Vision
Commercial
JHHC Med Advantage

NOTE: This is only a summary of our accepted insurances and exact insurance plans can be verified by contacting our billing department. For further information, or if you have questions about your statement, please contact our billing department at 410-571-9770.

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.  Some plans require a referral from your primary care physicians. Be sure to check your policy(s) to determine your coverage prior to your appointment.

Vision Exam

There are routine or “Well Vision” exams for people who have no eye disease or symptoms of disease. Your eyes will be examined for any needed correction (glasses or contact lenses) or any potential indicators of eye disease. If your doctor finds anything abnormal during your vision exam, further testing of a medical nature may be needed at another visit.  In that case, your medical insurance would be billed.

Routine vision eye exams do not qualify for prescribing medications. Yearly diabetic eye exams will not be billed to insurance under vision coverage.

Medical Exam

This is a medically necessary comprehensive examination for the diagnosis and treatment of diseases and conditions of the eye performed by a physician/surgeon. This exam evaluates the reason for the symptoms and assesses any treatment needed.  Some conditions evaluated with medical eye exams included cataracts, glaucoma, diabetic retinopathy, macular degeneration and many other potentially sight-threatening diseases.

Refraction Fee Notice for Patients

There are two parts to your eye examination, which are billed separately.

The first charge includes the fee for the doctor to evaluate the health of your eyes. This charge is billable to your insurance company, and also to Medicare.

The second (vision) portion of your exam is called a “refraction,” which is a test performed to determine the best corrective lenses to be prescribed for each eye.

Although a refraction is a very important vision test, it is considered a non-medical procedure. Medicare and most insurance plans do not pay for this service, the fee of which is $50.00.

We request that payment for this service be made at the time of your visit. Thank you.