BCBS Eye Exams in North Carolina: What You Need to Know!
Are you interested in learning more about BCBS insurance?
Maybe you have BCBS insurance and are looking for an eye doctor in the Charlotte, NC area.
If so, look no further!
Regardless of your situation, here are the most frequently asked questions we receive about BCBS.
RELATED: Learn about EyeMed vision insurance
What is BCBS?
Founded in 1929, BCBS is one of the oldest health insurance companies in the United States. With this in mind, BCBS is proud to provide extensive healthcare coverage to its members, allowing them to live free of worry, free of fear.
How do I locate a BCBS provider?
One thing that makes BCBS unique is that it has over 35 different companies that serve different areas of the country. Each BCBS company operates it's vision care benefits differently. Some provide them directly through BCBS while others contract them out to vision care companies like EyeMed, VSP, and Community Eye Care.
Finding a BCBS provider is easy! Members have easy access to quality care through their broad network of eye care professionals in a range of settings. This includes local, independent eye care professionals, and large retail optical chains.
To find a BCBS provider, pull up the BCBS provider locator page to research providers in your area. There you can search by location, provider name, or practice name.
What if my provider is not in-network with BCBS?
With BCBS, you are able to see any provider you would like. However, if the provider is out-of-network, you may have to pay in full at the time of service then submit your claim on your own for reimbursement.
Doctors located at (some) private and retail practices are out-of-network with BCBS.
How much does BCBS typically cost?
BCBS is available to individuals and can vary in cost, especially if you are signing up as an individual or with a company.
What does BCBS cover?
With BCBS, you will have exam copays ranging from $0-$25 for a comprehensive eye exam.
Glasses and contact lenses
BCBS provides up to $200 towards your glasses (frames and lenses) or contact lenses. Also, you'll have the option to add on important features like anti-glare, UV protection, transition lenses, and premium progressives. Unfortunately, BCBS does not provide coverage for contact lens evaluations.
Note: As with all other vision insurances, you will have to choose to use your benefits towards glasses OR contact lenses. Also, if your benefits are contracted out to EyeMed, VSP, or Community Eye Care, your coverage will be different than what's outlined above.
Are medically necessary contacts for dry eye or keratoconus covered by BCBS?
The BCBS allowance provided for glasses and contact lenses can also be used towards medically necessary contact lenses (i.e. scleral, hybrid, or RGP lenses).
In most cases, this allowance does not cover the full cost of a medically necessary contact lens evaluation and materials.
Does BCBS cover diabetic eye exams?
If your vision benefits are directly through BCBS, and your deductible has been met, diabetic eye exams are covered in full.
Does BCBS cover refractive surgery (LASIK or PRK)?
In the end, taking care of your eye health and wellness should be at the top of your health priority list! BCBS insurance is one of the most popular and well-known insurance in the world but varies from plan to plan on eye care coverage.