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In the frame room

Insurance and paying

What we can check, what we cannot, and what you pay if none of it applies.

Vision plans and medical plans are different things and pay for different visits, which is the single most confusing part of an eye appointment in this country. We will check what your plan says before your visit if you give us the details when you book. What the plan actually pays is between you and the plan, and we will not tell you otherwise.

What this includes

  • The plan details taken when you book, and checked before you arrive
  • A plain answer about which visit a vision plan covers and which one a medical plan does
  • The fee for every appointment type published on this site before you come
  • An itemised receipt you can send to a plan yourself
  • A price for the whole job — frame, lenses and coatings — before anything is ordered

What this is not

  • We cannot tell you what your plan will pay; only the plan can, and it can change its mind
  • We do not check eligibility in real time and nothing on this site is a quotation

Two kinds of plan

Two different kinds of plan pay for eye care in this country and they pay for different visits. Knowing which one your appointment falls under before you arrive is most of what stops a surprise afterwards.

A vision plan

Usually pays toward a routine examination and toward glasses or contact lenses, on a cycle measured in months. It is the plan people mean when they say they have eye insurance, and it is a benefits plan rather than health insurance.

The yearly examination, and an allowance toward a frame or lenses.

A medical plan

Pays for a visit about a problem — a red eye, a change in vision, monitoring for glaucoma, a diabetic screening. What makes it a medical visit is the reason you came, not what was found or what equipment was used.

Urgent visits, monitoring, and screening related to a health condition.

How we handle it

  1. Give us the plan details when you book, not when you arrive.

  2. We check what the plan says before your appointment and tell you what we were told.

  3. You are told the fee for the visit either way, so you know the number if no plan pays.

  4. You get an itemised receipt whether or not we bill anybody on your behalf.

What we cannot tell you

  • We cannot tell you what your plan will pay, and we will not say that you are covered.
  • We do not check eligibility in real time, and an answer given last month can be wrong this month.
  • Nothing on this site is a quotation, and no figure here is a promise from an insurer.

About your plan. We will check what your plan says before you come if you give us the details when you book. What the plan actually pays is between you and the plan, and nobody here will tell you that you are covered.

Every fee, published

Whatever a plan does or does not pay, this is what the visit costs.

Every appointment type, its length and its fee. A first visit adds a little more.
VisitWhereLengthFee
Comprehensive eye examination Examination lane 45 min (+15 first visit) $145
Contact lens fitting Examination lane 60 min $125
Contact lens follow-up Examination lane 20 min (+10 first visit) $55
Children's eye examination Examination lane 40 min (+10 first visit) $125
Myopia management review Examination lane 30 min (+15 first visit) $95
Dry eye assessment Examination lane 40 min $115
Urgent visit: a red or painful eye Examination lane 25 min (+5 first visit) $95
Diabetic eye screening Examination lane 35 min (+10 first visit) $105
Glaucoma monitoring Examination lane 35 min (+10 first visit) $105
Low vision assessment Examination lane 60 min $155
Frame styling and fitting Dispensing table 30 min Free
Repair or adjustment Dispensing table 15 min Free

Want to know the fee before you book?

Ring to book an eye examination, or come in and browse the frame room — no appointment needed to look.