Financial Policies and Insurances

At Southwest Vision, it is important to provide our patients with the most up-to-date technology for wellness and medical exams.

We achieve this by offering the latest in eye health education and prevention. Our exams are very thorough from start to finish. The doctor will spend the time as necessary, so our patients understand their ocular health fully and all the treatment plans implemented.

To give our patients the best experience, we believe it is important to be transparent with fees. We will provide a “Good Faith Estimate” to all private pay patients prior to your exam or at check-in.

Insurances We Accept

We accept all PPO’s and some HMO’s on these panels:

  • Blue Cross Blue Shield
  • Cigna
  • United Health Care
  • Aetna
  • Medicare and most secondaries associated with Medicare plans
  • Humana

**HMO’s are very limited and require advance referral before exam**

We are IN NETWORK providers and accept these vision plans:

  • Eyemed
  • VSP
  • MetLife (a sub plan under VSP)

We are OUT OF NETWORK providers for these vision plans:

  • Superior Vision
  • Spectra
  • Davis Vision
  • United Health Care Vision

*You will be provided a bill for all out- of- network exams so you can file for reimbursement*

We accept very limited HMO plans. Please note this is not an inclusive list, so please call our office at 512-327-3130 or email us if you do not see your plan listed here and our insurance coordinator will be happy to assist you.

OPTOmap Retinal Imagining

OPTOmap retinal imaging is performed on all patients, annually. Our doctors feel this technology is necessary to provide the care needed to adequately assess the retina. Most vision insurance plans will cover this test with a copay. Medical insurances usually do not if the patients’ eyes are healthy.

Contact Lens Evaluations

The fee will depend on many factors and usually is not fully covered by vision plans. The evaluation is leveled based on complexity of prescription and visual expectations of the patient. All levels include follow-ups and diagnostic trial lenses necessary to achieve a contact lenses prescription within 30 days before the purchase of a supply. If the visit continues past 30 days, additional fees may apply depending on the circumstances.

If you are a new contact lens wearer, we will require that you can perform adequate insertion and removal in our office. This is for your safety. Insurance companies usually do not cover this training fee.

Medical Office Visits

Sick visits are usually covered by most medical insurance plans. Management of Dry Eye disease is classified as a medical visit and most tests to evaluate progression are covered by insurance. All medical visits are subjective to copays, co-insurance, and deductibles.

Good Faith Estimates

Under the law, if you do not have medical insurance or choose to not utilize your medical insurance for specific episodes of care provided, you have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like office visits, medical tests, and medical equipment
  • If you request one, a Good Faith Estimate must be provided in writing at least 1 business day from the time an appointment is scheduled for the service. If the appointment is scheduled 10 or more days away, the estimate must be provided at least three days after the appointment is scheduled. In the event the care is emergent or testing is recommended during an office visit, your GFE will be provided at the time your additional services are offered.
  • You can ask your health care provider for a Good Faith Estimate before you schedule an item or service although this will be just an estimate as the exact care you need cannot be determined until your doctor evaluates you.
  • 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 www.cms.gov/nosurprises