INSURANCE

Our Practice in Marathon, Florida

Vision Insurance vs. Medical Insurance: What You Need to Know

When it comes to eye care, understanding the difference between vision insurance and medical insurance can save time and avoid billing surprises. Vision plans typically cover routine eye wellness—checking eyesight, updating glasses or contact lens prescriptions, and screening for common refractive issues like nearsightedness, farsightedness, astigmatism, or presbyopia. Medical insurance is used when we evaluate or treat conditions such as dry eye, infections, injuries, diabetes-related eye disease, glaucoma, cataracts, or sudden vision changes.


The plan we bill depends on the reason for your visit and the doctor’s findings that day. Please bring both your vision and medical cards. Some plans also treat the refraction (the test that determines your glasses prescription) as a separate service. If anything changes during your exam, we’ll explain next steps and costs before proceeding.

Helpful lINKS

  • Eye Exam

    > Adult & Senior Eye Exams


    > Children’s Eye Exams


    > Diabetic Eye Exams

  • Brands

    > Frames & Lenses


    > Contact Lenses

  • Specialty Eye Care

    > Emergency Eye Care


    > Dry Eye Therapy


    > Optiplus

We are an open-network practice. This means our practice will be able to offer you a new option to utilize your vision-plan benefits from most plans.  Navigating vision plans is hard. Our team has the experience to help you understand your coverage and help you use it. Call our office today to find out how.

VISION INSURANCE

Covers routine eye care such as annual exams, glasses, and contact lenses. Designed to help maintain healthy vision and keep prescriptions up-to-date.

Why You’d Have a Medical Exam

  • Blurry or fuzzy vision
  • Trouble focusing up-close
  • Frequent squinting

Common Diagnoses

  • Routine eye check-ups
  • Nearsightedness (myopia)
  • Farsightedness (hyperopia)
  • Age-related focus changes
  • Astigmatism

MEDICAL INSURANCE

Covers eye care related to diseases, injuries, or medical conditions. Focused on diagnosing and treating issues that go beyond routine vision needs.

Common Diagnoses

  • Cataracts
  • Glaucoma
  • Diabetic eye disease
  • Chronic dry eye
  • Iritis (eye inflammation)

Common Diagnoses

  • Macular degeneration
  • Strabismus (eye misalignment)
  • Eye infections
  • Eyelid problems
  • Eye injuries