Johnson Eyecare and Eyewear is an in-network provider for many vision and medical plans such as Avesis, EyeMed, Medicare, BCBS, Sanford and Tricare. If you don’t see your plan listed, don’t be alarmed. There are a variety of plans out there that we still accept. We always encourage you to call us to verify if we are able to accept your plan and what those benefits may be. If we are classified as out-of-network or open access with your plan, we understand you may have questions. Please review this simple Q&A or call us for more information.
Q: What is open access?
A: Open access is formerly/commonly known as out-of-network with some plans. Seeing an open access provider puts you in charge of your health care by choosing the provider you trust without the restrictions of your plan dictating who that may be.
Q: Why are you only in-network with some plans and not all vision or medical plans?
A: We are not able to provide the same, outstanding care you expect when large corporations dictate what we can prescribe, where we must order materials from and how much time we spend with our patients. The low rates at which they reimburse us for care and materials do not cover our expenses to operate to see patients or cover the costs of materials.
Q: I love Johnson Eyecare and Eyewear but I’m not sure I can afford care without the full benefits of my vision plan?
A: Thank you for your loyalty! If you have any medical conditions with your eyes or systemic diseases, we most often can provide care under the terms of your medical insurance. Examples of such conditions are diabetes, dry eyes, cataracts, glaucoma, painful or red eyes, injuries to the eye, allergies, certain systemic diseases or the use of certain medications.
We also offer a discount plan, called Vision Cash. Vision Cash can be used by any patient without a vision plan or one that we are not in network with. Patients must pay cash in full for their services on the day they receive them or for the materials on the day they order them. Your vision plan may reimburse a portion of the fees directly to you as well.
We also accept payments from Heath Savings Accounts or Flex Spending Accounts.
Q: How do I file my own vision plan claim?
A: Our team will provide you with a detailed receipt of the services rendered as well as contact information for your insurance plan where you should send your claim. Many claims can easily be submitted in minutes right from your phone!
Q: What will I be reimbursed if I pay out of pocket?
A: Due to the gross number of varying plans, it is impossible for us to know the fine print and details of each one so we may not be able to provide a specific amount. Often times, open access care does result in a higher out of pocket expense for the patient. You may log into your vision plan website and search in the “open access or out-of-network” benefits section. The information should be available regarding your specific plan reimbursement. We will assist patients with signing up for their portals should they need it. We are not privy to specific rates of reimbursement in an open access agreement however, most vision plans publish this to their members.
Q: How long will it take for me to receive the reimbursement check from my vision plan?
A: Claims usually take about 1 month to process with your carrier however we cannot guarantee reimbursement time or the amount.
