What makes contacts considered medically necessary?

Contact lenses are defined as medically necessary when the patient has an eye disease or prescription that has to be managed with contacts because glasses can't provide sufficient correction.

Does VSP reimburse for contact lenses?

Yes, you can apply your VSP insurance at Eyeconic.com, our in-network website for contacts and eyewear. Simply connect your benefits online and save instantly at checkout. Staying in-network is smart because you maximize your benefits and don't have to fill out a claim form to be reimbursed later.

How do I know if my contacts are medically necessary?

Types of Contact Lenses Medical necessity exists when there is an underlying medical eye disease or condition, such as keratoconus, corneal transplantation, corneal scarring, Sj gren's Syndrome, ocular graft-versus-host disease (GVHD), neurotrophic keratitis, trichiasis, or Stevens-Johnson syndrome.

What does CPT code 92310 mean?

The codes are published annually by the American Medical Association. 92310 Contact lens fitting for corneal lenses, both eyes, except for aphakia. Use this code when you are fitting soft contact lenses or corneal GP lenses, unless the patient has aphakia.

Does EyeMed do reimbursements?

You must submit a claim form to EyeMed for reimbursement.

What is the difference between elective and medically necessary contacts?

Non-elective contact lenses, also called medically necessary contact lenses, are prescribed by your optometrist to correct these types of eye problems, whereas elective contacts are chosen by the patient to correct an eye issue that eyeglasses or sometimes laser surgery can also correct.

What is a medically necessary contact lens?

Medically necessary contact lenses are non-elective contact lenses prescribed when certain medical conditions hinder vision correction through regular eyeglasses and contact lenses are the accepted standard of treatment.

What is considered medically necessary contact lenses for VSP?

Some conditions that qualify include: Anisometropia greater than or equal to 3.00 diopters difference, based on the eyeglass prescription. High ametropia greater than or equal to 10.00 diopters in either eye, based on the eyeglass prescription.

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EyeMed Medically Necessary Contact Lens Claim Form 2013

Get EyeMed Medically Necessary Contact Lens Claim Form 2013-2024

On (Required) Last Name First Name Street Address City Birth Date (MM/DD/YYYY ) - Telephone Number ( with area code) - Member ID # (if applicable ) Relationship to the Subscriber Middle Initial State Self Spouse Zip Code Child Subscriber Information (Required) Last Name First Name Street Address City Birth Date (MM/DD/YYYY ) - Telephone Number (with area code) - Vision Plan Name Vision Plan/Group # Date of Service (Required) (MM/DD/YYYY) - Other Authorization # : Middle .

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