Insurances

Roosevelt Vision is a preferred provider and can bill in-network for many major vision and medical plans in Seattle. These include Aetna, Blue Cross Blue Shield, CIGNA, Kaiser Permanente, Medicare, Premera Blue Cross, Regence Blue Shield, United Healthcare, and others. Our team verifies your benefits before your appointment, so you know what to expect.

If your plan is out-of-network, Roosevelt Vision can often still bill on your behalf. For plans like VSP, EyeMed, Davis Vision, Spectera, Blue Vision, and Superior Vision, you pay at the time of service. If you have out of network benefits on your plan, then you are typically reimbursed directly by your insurance within three to four weeks. We are unable to determine your exact benefits when it's an out-of-network plan.

For most plans, Roosevelt Vision will mail you a completed claim form that you will sign and mail in to your insurance company. Certain plans allow us to send the claim directly to your insurance on your behalf. Many insurance plans also allow you to submit your claim online if that is your preference. Your insurance typically reimburses you within three to four weeks.

When you schedule your appointment, our Seattle office will attempt to verify your allowances and coverage in advance. If there are questions about your benefits, we will review them with you before your visit, so there are no surprises regarding costs or coverage.

Vision insurance generally covers routine comprehensive eye exams and prescriptions for glasses or contacts. Medical insurance covers visits that are medical in nature, such as eye infections, glaucoma, cataracts, or diabetic eye complications. The type of insurance billed depends on the reason for your visit.

During your visit, we determine whether your exam is routine or medical. Routine exams are billed to vision insurance and include refraction testing. If a medical condition is diagnosed, the visit must be billed to your medical insurance. Our team will explain your options during your appointment.

Vision insurance may not fully cover the contact lens portion of a routine exam. Our team at Roosevelt Vision can review your specific plan details, so you understand any out-of-pocket costs before moving forward.

Medical insurance is used when the visit addresses a specific eye health concern. This includes cataracts, glaucoma, corneal disease, dry eye, infections, retinal tears, optic nerve disorders, headaches related to eye pain, or diabetic eye complications. These visits are billed to medical insurance instead of vision insurance.

Yes, possibly, if you have both types of coverage. Please speak to one of our insurance specialists to determine whether your coverage allows coordination of benefits. Our Seattle team reviews both plans to determine which insurance applies, how to minimize your out-of-pocket expenses, and to maximize your available benefits.

Some medical insurance plans require a referral from your primary care physician before your visit. If your plan requires one, you should contact your PCP in advance. Our office can help initiate the request, but your physician typically needs your approval to send the referral.

The cost of an eye exam in Seattle can vary based on factors such as the type of care provided, diagnostic testing involved, and individual patient needs. Our team is happy to review expected costs and answer questions once your specific needs have been assessed.

Insurance coverage for eye exams and vision services depends on your individual plan and the reason the service is being provided. Some services may be covered in full or in part, while others may require out-of-pocket payment. Roosevelt Vision accepts a variety of insurance plans and can help verify your benefits prior to your appointment, so you have a clear understanding of your coverage.

Most vision plans do not cover 100% of the cost of glasses or contact lenses. Patients should expect some out-of-pocket expenses for frames, lens upgrades, or specialty contacts. Roosevelt Vision reviews your allowances before your purchase so you can make informed decisions.

Look for a provider who verifies benefits in advance and clearly explains coverage. At Roosevelt Vision in Seattle, we confirm allowances before your visit and provide transparent information about in-network and out-of-network options so you can plan confidently.

Patients choose Roosevelt Vision because we simplify the insurance process. We verify benefits ahead of time, explain vision versus medical billing, help you submit out-of-network claims on your behalf, and coordinate multiple plans when possible. Our goal is to make eye care in Seattle straightforward and stress-free.