Vision therapy is used to treat diagnosed vision conditions. In some cases, Vision Therapy is the only available and effective treatment option for these conditions. However, some insurance companies and managed care plans may deny or place severe limitations on coverage for Vision Therapy services as a cost-saving measure in the same way that orthodontics is usually denied by all insurances. It is important to remember that the unwillingness of insurance companies to pay for these services does not reduce the need for obtaining treatment. It is not the policy of Complete Eye Care to compromise our care or allow insurance companies to dictate our treatment plans.
Insurance companies will not cover any therapy that they deem educational or as a treatment for learning issues. Therefore, perceptual and cognitive therapies are not able to be coded for insurance coverage. This educational versus medical paradigm is the main basis of most insurance companies’ denials and exclusions.
In addition, accommodative and oculomotor (eye movement) therapies are not covered by any insurance code. The only type of therapy that may be covered is orthoptic (binocular) therapy. However, due to the specialized nature of this treatment, it may or may not be covered by your insurance plan.
Please keep in mind that as you progress through your therapy program, the amount and type of therapy you require may change. This is due to progress being made more or less quickly than anticipated. The doctor in charge of your case will discuss this with you as you progress through therapy. We are here to provide the best possible care to you and your family. If you have any questions or concerns, please feel free to contact us.
While Optometric vision therapy is not inexpensive, it should be seen as an investment in your child’s future.
We do realize, however, that the cost of vision therapy may be a financial burden for some families. To offset this burden, we offer several different payment options, including CareCredit (www.carecredit.com). Please do not hesitate to discuss this with us.