Hard, soft or gas-permeable lenses, if specific conditions are met: see additional notes below for details Ĭoverage/limitations for contact lenses are based on medical necessity-talk to your provider for more information.Īdditional notes on eye exams: These restrictions do not apply if there is a referral from the member's physician or if one of the following complaints or conditions is documented in the member's record: (a)blurred vision (b) evidence of headaches (c) systemic diseases such as diabetes, hyperthyroidism, or HIV (d)cataracts (e) eye pain (f) eye redness (g) eye infection (h) double vision or (i) members receiving long term therapeutic drugs which may cause ocular side effects. Prior Authorization is required if more than one replacement is needed within the time periods noted above.Ī prescription change from a valid provider is required.īenefit coverage/limitations for spectacles are based on medical necessity- talk to your provider for more information.Īn Optometrist or Ophthalmologist can request prior authorization for alternative tint options based on medical necessity. Members 21 years and older: one replacement pair every 24 months without prior authorization Members under 21 years old: one replacement pair every 12 months without prior authorization Members 21 years and older: Requires Prior Authorization if repair is requested within 24 months of when glasses were dispensed. Glasses must be repaired or replaced by the optician who ordered the initial eyeglasses. Member 21 years and older: Once every 24 months With a prescription that meets certain criteria. Members who need bifocals may be able to get two pairs of glasses instead of bifocals, if certain criteria are met. Members 21 years and older: Once every 24 months Members younger than 21 years old: Once every 12 months Members may be covered for more frequent eye exams with a referral from a physician or if certain medical conditions exist. Members 21 years and older: Once every 24 months (No referral required) Medford and Central Point optometrist/eye doctor.Members younger than 21 years old: Once every 12 months (No referral required) The Oregon Eye & Vision Center is located north of Medford in Central Point, Oregon. In addition to their extensive experience correcting refractive error and providing patients with exceptionally clear vision, our doctors have received hospital-based training in emergency and urgent eye care. Additionally, our physicians are proud to provide cosmetic eye services.įrom geriatrics to pediatrics, our doctors cater to the needs of southern Oregon. Goldstein is well known for her skill in hard-to-fit contact lens cases, pre-and post-operative surgical care, and family eye care services. McPartland is noted for his exemplary technical skill and proficiency in treating dry eye, glaucoma, other medical eye diseases, and performing minor surgery to the eye, eyelids, and associated ocular structures. In addition to providing comprehensive eye exams and contact lenses, Dr. If you insurance is not listed, there is still a good chance that we can see you! Please inquire.Īt the Oregon Eye & Vision Center, our optometric physicians are well-equipped to meet the various needs of our patients. VSP, Medicare, Health Net, EyeMed, OHP (AllCare, Jackson Care Connect, and others), ODS, Moda, Care Oregon, Regence, Blue Cross Blue Shield, Mid-Rogue, United, OptumHealth, Spectera, Davis Vision, Providence, Aetna, Pacific Source, Cigna, Tricare, Asante, CareSource, GEHA, Ameritas, and many others. Below is a partial list of the most common medical and vision insurance plans that we accept: Our providers are on panel with most insurances (medical and vision) offered in Oregon. WE ACCEPT MEDICAL & VISION INSURANCE FOR YOUR EYE EXAM. Oregon Eye & Vision Center > Eye Care for southern Oregon: Central Point, Medford, Jacksonville, Peheonix, Talent, Eagle Point, White City, Gold Hill, Ashland, Grants Pass.
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