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Home » Vision Insurance – Insurance in NJ

Vision Insurance – Insurance in NJ

A Vision Insurance policy plan like VSP® helps with the cost of an eye exam, eye care, eye wear, or other vision related expenses. Your vision insurance policy plan gives you the benefit of being able to receive regular eye exams and eye care.

To maximize your eligibility and coverage, we work with VSP®, as well as most of the major medical insurance policies.

Routine Vision Coverage

Some individuals are fortunate enough to have "Routine Vision Coverage".  Sometimes it is a stand-alone policy and sometimes it is administered through your medical plan.  Coverage can be for the eye exam and/or the materials, ie., the glasses or contact lenses.  If it is medical only coverage, it will cover only medical related visits (eg., pink eye, cataracts, injuries/scratched eyes, glaucoma, floating spots in vision, etc.)

If you are uncertain about your benefit eligibility, check with your human resource department or call your insurance company directly and inquire about eligibility.

Questions you should ask:

* Does my insurance plan provide routine vision benefits?

* Can I see the eye doctor of my choice?

* What does my plan allow?

If your policy allows you to see any eye doctor of your choice we will do our best to verify your coverage, file the claim electronically and accept assignment of benefits for you.

To verify your vision coverage, we will need a phone number for verification of benefits, a group, plan or policy number, the social security number of the insured, member and patient's date of birth, and name of employer.  In order to avoid wasting your valuable time during your appointment, verification of insurance benefits must be completed prior to your scheduled time.

When you arrive for your appointment we will need a copy of your insurance plan policy card.  You are responsible for any copays or coinsurance.

At Allied Vision Services we will assist you in finding out more about your eligibility and coverage as well as our insurance plan policies.

  • Aetna
  • Cigna
  • Horizon Blue Cross Blue Shield NJ
  • Medicare
  • United Health Care
  • Oxford
  • Us Family Health Plan
  • Eyemed Vision Care
  • VSP
  • Meritain Health
  • Tricare
  • VBA
  • Superior Vision
  • Amerihealth
  • National Vision Administration (NVA)

Plainsboro, NJ

We currently accept the following insurance plans (but again, must be verified):

  • Aetna
  • Cigna
  • Horizon
  • Medicare
  • United Healthcare
  • Oxford
  • VSP
  • US Family Healthplan

Call us today!

Flemington, NJ

We currently accept the following insurance plans (but again, must be verified):

  • VSP
  • EyeMed,
  • VBA,
  • Superior Vision
  • Horizon
  • Aetna
  • Amerihealth
  • United Healthcare
  • Medicare
  • Cigna,
  • Qualcare
  • Oxford
  • Superior Vision

Call us today!

Robbinsville, NJ

We currently accept the following insurance plans (but again, must be verified):

  • VSP
  • EyeMed
  • VBA
  • NVA
  • Aetna
  • Horizon
  • Cigna
  • United Healthcare
  • Oxford
  • Superior Vision

Call us today!

Lawrenceville, NJ

We currently accept the following insurance plans (but again, must be verified):

  • Aetna
  • Horizon
  • Medicare
  • Eyemed
  • VSP
  • United Healthcare
  • Cigna,
  • Qualcare
  • Meritain
  • Qualcare
  • Oxford
  • US Family Healthplan
  • Tricare

Call us today!

Q & A on Insurance with the Eye Doctor

I'm confused about my insurance. Do I have benefits for an eye exam?

It's understandable to be confused. I wish there were a simple answer for everyone, but there's not.

Let's start with the easier answer. If you know that you have a plan that is an exclusive vision plan, such as VSP or EyeMed, then that insurance provides your coverage. It's pretty straightforward, and you can see your benefits online, by phoning the insurance company, or asking us. The more confusing scenario is whether or not your medical insurance (eg., Aetna, Cigna, Horizon, etc.) provides benefits for a routine eye exam. They may or may not. If you do have the benefit, it may be provided directly by the medical carrier, or they may contract that out to a third party, that we may or may not participate with. And, to further confuse the matter, it is possible that our doctors may be "in network" for the medical plan and "out of network" for the vision plan.

It's frustrating and confusing for us too. Contacting insurance companies is time consuming, and sometimes the answers they give are not clear or complete. Please know that we really do our best to get your insurance information correct. Prior to your visit, ask these three questions of your insurer: 1) Do I have coverage for routine eye exam? 2) Do I have coverage for eyeglasses and/or contact lenses? 3) Is the coverage through a separate vision plan?

We will help you as much as possible, but ultimately you are responsible for knowing your benefits. I hope this explanation clears up some insurance questions and allows you to get the eyecare that you deserve. It is really all about the care ... I only wish insurance companies felt the same way!