Shepard and Quinton Vision Care
Insurance Information

Your insurance plan may not cover all services provided.  You may be required to meet deductibles and/or provide co-payments for services.  Insurance plans change benefits frequently, so the benefits you had last year may no longer be in effect.  We strongly recommend that you contact your insurance company or your benefits administrator for current benefit information.  They are your best resource for accurate information.

In-network Insurance Plans
“In-network” refers to providers that have contracted with your insurance plan to provide healthcare services.  You will be responsible for any co-payments and deductibles at the time of service.  We will then file the remaining balance of fees with your insurance company.

  Insurance Plans We Accept (In-Network)
• BlueCross BlueShield of Georgia
• BlueCross BlueShield of Tennessee
• Blue Care (Tennessee)
• Cigna (medical only)
EyeMed (Access plans only)
• Georgia Medicaid
• MetLife (vision only)
Medicare
United Healthcare (Medical and Medicare plans only)
VSP - Vision Service Plan

Out-Of-Network Insurance Plans
An “out-of-network” provider is one that has not contracted with your insurance company.  Many insurance plans offer coverage for out-of-network providers, but your patient responsibility may be higher than it would be if you were seeing an “in-network” provider.  You will need to pay for all services on the day they are provided and file for reimbursement from your insurance company.  We will provide you with the documentation needed to submit a claim.  Our “time of service discount” is available to patients who pay in full on the day services are provided.  These savings may offset your “out-of-network” costs.

Medical Eye Care
Medical eye care involves the treatment of eye injuries, eye infections, eye diseases, and vision defects from brain injury and stroke.  Medical eye care is typically covered by your medical insurance and is separate from your vision care plan.  Generally, vision care plans do not cover medical eye visits and medical plans do not cover routine vision exams.

Medicare Patients
Medicare only pays for medical eye care.  Medicare pays 80% of allowable services after you have met your deductible.  If you have a secondary insurance, it may cover what Medicare doesn’t pay.  Medicare will only cover services that have a medical diagnosis and that are medically necessary.  For example: If you are diabetic, hypertensive or have an eye injury or eye disease, your services are considered allowable.  Medicare does not pay for routine vision exams to determine eyeglass and contact lens prescriptions.