medical and vision plans

Insurance & Payment

Do you take my insurance?

The answer is a bit complex, but simply put, we are a preferred out-of-network provider. We are happy to look up your benefits, go over them with you at length, and file claims for you.  

The difference is the insurance company pays you directly after we submit that claim. We often get asked why this process is different than some other offices and our response to that is because we want to be different. 

Often, insurances dictate pricing, products, and markups. We want to make sure our pricing is transparent and fair. In lots of cases, offices elevate retail frame costs to cover the “discounts” insurances say they provide. An example would be a $200 frame at one office with a discount of $50 off would already be $150 here.  

We offer all-inclusive pricing. Instead of worrying about copays or “upgrades” that sometimes can get overwhelming, we keep it simple. So, while insurance may “cover” a standard progressive but have higher copays for custom-fit lenses, anti-glare, scratch coating, or thinner lenses, we have packages that include all of these at no extra cost to you. 

Making you feel welcome and comfortable is the foundation of our practice. We want to make sure you have as much time as you need to ask questions, learn about your eye health, and feel confident with that perfect pair of eyewear. While insurance is a great thing, it often can limit providers with the time they can allow for scheduling. We also apply transparent pricing to our exams, making sure you get the most accurate exams with no hidden or extra charges. Insurance companies often word their plans as “covered exams” but if you wear contacts there is an extra fee for that. Digital photos? Extra charge. Diabetic exams? More fees. Not here.  

By the time you factor in your premiums and the extras, it may end up costing you MORE than you’ve saved and, in a lot of cases, more than us. With open enrollment and the new year coming up quickly, do the math and consider the quality. It may be costing you more than you’re saving. 

 

Contact for more info

Payment Options

At Lemoncelli Eyecare, we provide quality eye health and vision care for everyone, regardless of insurance coverage.

If you have an insurance plan, we are happy to help you maximize any insurance contributions, calculate any out-of-pocket costs, and can submit for reimbursement for you from your plan on your behalf.

Patients with no insurance

No vision or medical insurance? No problem! We offer fair, transparent pricing for eye healthcare services.

· How does claim submission work? It’s little to no work for you! We search for your vision insurance and submit all the needed information on your behalf. In most cases, all we need is your name as it appears on your insurance and your date of birth. In SOME cases, we would need additional information, so we always suggest bringing in any insurance information you can find.

· How long does it take? A good estimate is 15-20 days in the mail, but we have gotten feedback from our patients that it’s less than that.

· I have medical insurance, can that be submitted? Right now, we don’t have the ability to submit for medical visits, but we are always keeping an “eye” out for that option. For now, though, we are able to provide detailed receipts. Often, it’s as simple as visiting your medical insurance website or calling them, submitting that receipt, and getting the reimbursement either to you or toward your deductible.