Billing & Insurance Questions: Email insurance@cveclinic.com

At Chippewa Valley Eye Clinic, we are a MEDICAL EYE CARE OFFICE. We diagnose, treat, and manage the medical health of the eye. This means that in most circumstances, we will bill your medical insurance for your eye health physical and office visits.
We often have patients that have both Vision Benefits (for example, VSP or Spectera) and Medical Insurance (for example, Anthem BCBS, Cigna, Aetna, or Medicare). They are very different in terms of the services they cover, and it’s important for our patients to understand these differences. Unfortunately, the insurance world is a confusing one but we are here to help and answer any questions that you may have!
Vision Benefit Plans
Vision benefit plans are typically supplements and discounts and are designed mainly to cover determining a prescription for glasses, to help pay for glasses or contact lenses, and to cover a yearly, vision screening of the eyes in a healthy patient that has no particular problems or symptoms. These benefits do not cover medical conditions, injuries, and/or treatments. The main benefit of these types of plans is that they provide for discounted fees on materials, including frames, lenses, and/or contact lens materials. Our staff will assist with determining your coverage to maximize your benefit!

Major Medical Insurance

Medical insurance is designed to cover you when you have a medical condition, including ones that affect your eyes, eye injuries, eye infections, or need additional treatment or medical procedures to be performed. This can be an overall health condition (even controlled ones) such as Diabetes, Blood Pressure, Cholesterol, or an eye-specific problem, such as Glaucoma or Cataracts. Medical insurance does not cover vision screenings for glasses (refractions), or non-medical vision problems such as nearsightedness, farsightedness, and astigmatism.
When a medical diagnosis or medical condition is present that affects your eyes, such as high blood pressure, high cholesterol, or diabetes, to name just a few examples, or you have an eye disease or eye problems such as an infection (pink eye), dry eyes, allergy, or cataracts, we will always file the claim with your medical insurance, and the co-pays and deductibles for that insurance will apply.
Anthem
BCBS
Aetna
Auxiant
Aspirus
BPA
Cigna
Dean Health Plan
First Health
Forward Health-Medicaid
Group Health Cooperative
HealthEOS/MultiPlan
HealthPartners
HealthSmart / Interplan
Humana
Medica
Medicare
PreferredOne
Quartz
SelectCare / LaborCare
The Alliance
Trilogy
United Healthcare
UCare
WPS
Anthem
BCBS
Aetna
Auxiant
Aspirus
BPA
Cigna
Dean Health Plan
First Health
Forward Health-Medicaid
Group Health Cooperative
HealthEOS/MultiPlan
HealthPartners
HealthSmart / Interplan
Humana
Medica
Medicare
PreferredOne
Quartz
SelectCare / LaborCare
The Alliance
Trilogy
United Healthcare
UCare
WPS
Anthem
BCBS
Aetna
Auxiant
Aspirus
BPA
Cigna
Dean Health Plan
First Health
Forward Health-Medicaid
Group Health Cooperative
HealthEOS/MultiPlan
HealthPartners
HealthSmart / Interplan
Humana
Medica
Medicare
PreferredOne
Quartz
SelectCare / LaborCare
The Alliance
Trilogy
United Healthcare
UCare
WPS
Your eye health will determine which insurance category must be billed. Therefore, we always ask for insurance information for both your Vision Benefit and your Medical Insurance. We will try to keep you informed as to which insurance form will be utilized (and why) and will make every attempt to maximize your coverage.
Good Faith Estimate

If you do not have insurance, or you are electing not to use insurance for your eye care services, you have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

​​​​​​​Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any nonemergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

​​​​​​​For questions or more information ​​​​​​​about your right to a Good Faith Estimate, visit ​​​​​​​Cms.Gov/Nosurprises.

*Please note, for materials (i.e. eyeglass frames, lenses, contact lenses) a verbal quote will be provided, followed by an invoice before proceeding with ordering the device/material. Payment is due in full before the lab order is placed.

Can I use my vision insurance and my medical insurance for a joint exam on the same day?
No. By law, we cannot bill two different types of insurance on one day. There are two alternatives. First, we can always schedule your medical and vision visits on separate days, allowing us to bill your insurances on different days. You may have to go through some repetitive parts of the exam on those days because by law there are certain things the eye doctor must document at every visit. If you need to schedule your medical and refraction exam on the same day, another option is billing your medical insurance for the medical exam (don’t forget, this may include a copayment at the time of your visit) and paying the additional flat rate for a refraction ($50.00).
Payment Options
We understand that cost is a concern when evaluating eye health care providers. We do not want cost to be an obstacle to maintaining proper eye health and good vision. We accept various forms of payment and can discuss financing options with you prior to any examination. At Chippewa Valley Eye Clinic, we also accept cash, check, Visa, Mastercard, Discover and Care Credit. Call 715-834-8471 to schedule your eye exam today.

Patients can now make payments online through Care Credit to pay their bill. Follow the link to pay online:

Patient Protections Against Surprised Billing:

Pay your bill online with credit or debit card:

Schedule your appointment.

 

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For billing questions, please email insurance@cveclinic.com

Locations

eau claire 715.834.8471
menomonie 715.235.8335

rice lake 715.234.8444

outreach locations

affiliations

Eau Claire Lasik

745 Kenney Avenue
Eau Claire, WI 54701
715.832.2020
Best Eye Clinic
Best Eye Clinic

VOTED BEST OF THE CHIPPEWA VALLEY SINCE 2018