- Aetna HMO
- Aetna Non HMO
- Health America/HMO
- Davis Vision
- DPA - WV
- Highmark BCBS Freedom - PA
- Highmark BCBS Direct
- Freedom Blue - WV
- Health America (FirstHealth, Coventry)
- Health Plan of U.O.
Many of the questions we receive at Everett And Hurite have to do with insurance. One particularly common question is whether or not visiting patients can use general medical insurance, rather than vision insurance, to cover their visit.
For most patients at Everett And Hurite, the type of insurance that they can use to cover their visit will primarily depend on the purpose of their appointment. Our staff members are qualified to deliver two key types of examinations: wellness vision exams and medical eye exams. While these exams often contain similar testing and procedures, insurance companies classify them as two different types of exams. The companies make this distinction based on the purpose of the exam and your appointment overall:
While these are the standard rules for vision and medical insurance use at a vision center, some specific health plans may cover additional items than what is listed here. This means that depending on your insurance plan, your medical insurance may actually cover some aspects of your eye care. Given the complexities of different health insurance policies, we always recommend that you call your insurance company or speak with your HR department to verify your specific plan’s benefits and coverage before you visit Everett And Hurite. Your insurance company is the best source to answer questions about your coverage.
You should also clarify which company or companies cover your vision and medical insurance, as two different companies often cover these insurance policies. Confirming this information before an appointment will avoid any confusion or problems when you come to our offices for your exam.
At Everett & Hurite, we regularly see patients who ask what Medicare will and will not cover. While we always recommend that patients talk to their doctors and providers directly to confirm how much of a specific test, item, or service will be covered by Medicare and/or insurance policies, there are some general Medicare rules and guidelines that you can expect to see in place at our practice:
It’s important for patients to keep these limitations in mind when they schedule an appointment, particularly if they hope to use Medicare to cover their visit. Because of this, you will need to sign the document entitled "Advance Beneficiary Notice of Noncoverage" (ABN).
Additionally, we encourage patients to remember that doctors may sometimes recommend services that are NEVER covered by Medicare or by a patient’s insurance. For these services, it’s important to always ask questions and to communicate with your healthcare provider so that you are not surprised by any bills you receive after the visit or if payment is required at the time of the visit.
Finally, because a variety of factors can affect the final cost of a doctor’s visit, we encourage patients who are concerned about the cost of their visit to speak to their insurance providers and doctors about ways they can receive the care they need while also taking steps to reduce the cost of doing so.
I was in to see Dr. Edward Chang on Tuesday, September 25 for an annual follow-up visit. He did my cataract surgery in February, 2017. I find him to be very competent, professional and has a great sense of humor. He really puts any fears that one might have at ease. Kudos to you Dr. Change for just being yourselfAnonymous. September 26, 2018
Dr. Kent is wonderful ophthalmologist. He is kind and compassionate and I'd definitely recommend him to my friends and family.
Kudos to Dr. McGee, a true professional, who came in on a Sunday to treat my eye emergency. I am very grateful for his kindness which went beyond the call of duty. Thank you, Dr. McGee!!!debra T. September 23, 2018
Great experience with Dr. Chang and EastSide Surgery CenAnonymous. September 22, 2018
Dr. Chang was amazing - competent, kind, caring, and willing to answer all of my questions about my cataract surgery. I cannot say enough about the staff - receptionists, nurses, scheduler - at the Greensburg Office as well as the Shadyside surgical center. The nurses and anesthesiologist at the surgical center were absolutely stellar. Thank you so much!Anonymous. September 22, 2018
East Side Surgery Center and Dr. Chang were excellent for my cataract surgery. I was so relaxed I slept through the procedure.Anonymous. September 4, 2018
Received injection #4, today, my 1st from u, for WMD. I greatly appreciated your attitude, professionalism + skill of communications. you transformed: my procedural experience, attitude + considerations about treatment. Now age 77 having to deal w/ the surprise Dx along w/ a few other serious aging issues, it required that I do my best to understand, be knowledgeable + manage the issues and not give into stresses + doubts. I have always found that self knowledge greatly enhances my able to be manage conditions + to be at my most healthful state, body, mind and Soul. Joe DandreaJoseph A D. August 1, 2018
I had been taking my dad here for quite a while for Macular Degeneration before he passed, and I must give this place much praise. You might have a little bit of a wait before seeing the doctor, but that only proves how highly rated and competent they are. The staff is very friendly, accommodating and helpful, and Dr. Rosenberg very professional, knowledgeable, resourceful, and kind. His exams are very thorough! The Retina surgery my dad had was a complete success. I highly recommend to anyone needing specialized eye treatment to go ahead and make your appt. You won't be disappointed.Anonymous. August 1, 2018
Kudos to Dr Hoover for all the times I had my eyes checked by him! I had him from the time I was 11 month old till I turned 16. He is an amazing Dr and I thank him to this day for helping me better my eyesight!Annie B. July 26, 2018
My daughter started seeing Dr. Herzig the week of her 2nd birthday. She is now 15 and haws bifocals all of this time. We all LOVE Dr. Herzig (Briana calls her Dr. Horsie because she couldn't pronounce it when she was little). She is so wonderful!!!! She is understanding, compassionate and you can tell she loves what she does. She treats her patients like they are her own children. I would recommend her to everyone!!Halle S. July 6, 2018