Insurance Plans and Proper Billing at South Hills Eye Associates

South Hills Eye Associates accepts most insurance plans.
Download Insurance List (PDF) to determine if your insurance plan is in our network of providers.

View Insurance List

​​​​​​​Medical Eye Exam Coverage

Medical Eye Exams for cataracts, glaucoma, diabetes are covered by medical insurance.

Some insurance plans require a referral from your primary care physician to authorize payment for the procedure through the insurance coverage.

Please contact your primary care physician for this referral in advance of your visit. Without the required referral, you would be responsible for the exam fee and any other associated service / procedure fees.

Note: Please read IMPORTANT INFORMATION REGARDING INSURANCE REGULATIONS below.

​​​​​​​Vision Care Benefit Coverage

Some insurance plans include a Vision Eye Exam or Vision Care Benefit. This benefit can be used to cover basic exams for eyeglasses and contact lenses.

Prior to your visit, please verify your type of coverage with your insurance company and how often you are eligible for this benefit (e.g. every 12-24 months or within a calendar year) and the date of the last time this insurance benefit was used.

If your insurance provider requires you to submit a Vision Care benefit form, bring your form to the receptionist at the time of your visit upon check-in or you will be financially responsible for payment at the time of your visit.

Note: Please read IMPORTANT INFORMATION REGARDING INSURANCE REGULATIONS below.

​​​​​​​Services Not Covered by Insurance

Please be aware that some services are not covered by all insurance plans. These costs may include:

• Co-Pays – Most insurances require you to pay a small fee at your visit.

• Deductibles -- Many insurance plans require you to pay up to a certain amount each year before benefits start.

• Refraction – This measurement for eyeglass lenses may or may not be considered a medical service and, therefore, may not be covered by your insurance plan. Payment for this service is due at the time of your visit.

• Other Services – These are services which insurance plans do not typically cover. Some of these services include contact lens services, Laser Vision Correction (LASIK and PRK), Presbyopia-correcting lens implants, and Toric Lens implants or other procedures to reduce astigmatism at the time of cataract surgery.