Insurance

Health Insurance and Payment Plans

Please see the list of health insurance plans with whom we are contracted at the bottom of this page.

Clemson Eye is a contracted provider for a large number of health plans including Medicare, Medicaid, BCBS, VSP, EyeMed, United, Aetna and many more.

If we are contracted with your plan, then we will file your insurance to cover your eye exam or treatment and you will be responsible for the difference. We gladly file primary and secondary insurance, but do not file tertiary (you may do so). The Medicare Part B deductible for 2016 is $166 and you typically pay 20% of the Medicare approved amount for most doctor services. If you have a secondary, then it generally pays the 20% subject to any other deductibles the secondary may include. If you have Medicare Part C or D, then the monthly premium varies by plan. Early in the year, many patients will have some financial responsibility to their provider until their deductibles are met. Along with copays, deductibles, and co-insurance, the "out-of-pocket" costs are increasing. Consider using a Flex Spending or Health Savings Account to cover your costs.

See our FAQs on eye exams, costs and insurance here.

Please bring your insurance card and photo ID to each visit.

While we are happy to assist with your insurance questions, it is helpful for you to understand your particular coverage. Call your insurance company or visit their website to understand your unique benefits and financial responsibility. If your insurance carrier requires a referral, then please provide that either before or at the time of your appointment with Clemson Eye.

Insurance Inquiries
Our capable staff can help answer your insurance, payment and financing questions.

With a medical diagnosis, your health insurance will cover the exam excluding any co-pays,deductibles, etc. We would be happy to verify your benefits when you book an appointment. Vision plans cover routine eye examinations and offer coverage for glasses and contact lenses. We would be happy to verify your benefits when you book an appointment. If you are uninsured and self-pay, we will offer you a 35% discount on the charge if paid at the time of service. On average, a routine eye exam ranges from $60 and $200 depending on the services the doctor provides during the eye exam. This will depend on your age and medical history. Routine eye exams are important to maintaining good eye health. They are essential to detecting vision problems.

Although laser eye surgery is considered an elective or non‑covered service, as a contracted provider for most insurance companies, there are some savings available.

Please contact Clemson Eye at (864) 297‑8777 for a verification of your benefits.

Ultimately, you are responsible to ensure your doctor is paid for their service to you. Daily, we struggle for compensation from insurance companies and are extremely grateful for our patients who take a proactive stance with an unpaid claim. Insurance companies are supported by you and promptly respond to your inquiries.

If you have recently turned 65 years of age, please contact Medicare and proceed with registration. Also, if your spouse is recently deceased and you were covered under his/her health insurance, then please review your policy to determine when your coverage expires. In order to correctly file a medical claim, we must have information on the Policy Holder of your health plan. If someone else has you listed on their insurance policy, please be sure that the policy is current and that we have all the correct information for the person who carries this policy as this is the information the insurance company will need to process the claim.

Likewise, if you are a minor, then we must have information on your guarantor or parent, under whose policy you are covered. Medicaid patients over age 17 have limited coverage for eye exams unless they are covered by an HMO Vision plan. For our Humana Military patients we must have photo identification.

Our policy is to collect at the date of service. All non-covered surgical services may be due prior to the procedure. The hospital or surgical facility also requires lens implant payments in advance of the surgery.

Clemson Eye accepts most major credit cards including VISA, MC, Discover, American Express, Debit cards, personal checks and cash. Another payment alternative we offer for our patients is Care Credit. Click here to apply.

If you would like to make a payment by phone please call us at (864) 633‑1051.


 

Insurance Providers

 
Blue Cross Blue Shield Plans Accepted
BCBS Essentials PPO BCBS Exclusive Provider Organization BCBS FEP (Federal Employee Program)
BCBS Fla BCBS Illinois BCBS Local
BCBS Maryland BCBS Medigap BCBS My Choice Advantage
BCBS ST Blue Card Empire PEN/Blue Choice
Blue Choice Health Plan    
Medicare Plans Accepted
America's 1st Choice Care Improvement Plus First Choice VIP
Humana Gold Choice Humana Medicare Replacement Medicare Blue Plus
Regular Humana Medicare Replacement RR Medicare South East Community Care
Wellcare Medicare Replacement    
Medicaid Plans Accepted
Absolute Total Care (Provider Specific) Bluechoice Medicaid First Choice Medicaid (1 visit/yr, no vision plan, if under 17)
Medicaid for routine (if under 20) Molina (medical only) United Health Care (medical only)
Wellcare Medicaid Advicare (Opticare-Wellness only, if under 21)  
Commercial Health Insurance Plans Accepted
AARP AETNA American General
Champ VA Continental Life Comprehensive Health (call to verify)
CIGNA GEHA Golden Rule
Great American GUARDIAN (call to verify for vision) Medical Mutual of Omaha
MEDCOST (not Medical Mutual of Omaha) MVP PEN (Physicians Eyecare Network) and PAI (medical only)
Premiere Regular United Healthcare Sterling Life
Tricare For Life Tricare Standard Tricare Prime (verify if authorization needed)
Travelers Physician Eye Care Plan Champus (Tricare)
Vision Care Plans Accepted
Blue View Vision (Eye Med) CIGNA Vision (VSP) Empire Blue Thru Anthem (Eye Med)
Eye Med Metlife Vision (VSP) Opticare
PEP, Physicians Eye Care Plan VSP  
We do NOT accept the following
Avesis Vision Block Vision Cigna Health Spring Medical
Davis FEP BlueVision (Davis Vision) March Vision
Medical Mutual of Ohio Optum Health S&S
Spectera Superior Supermed
Vision One (unless Eye Med or VSP) Community Eye Care Consumer's Choice

For more information call 855-654-2020 today or click here to schedule an appointment.

Visual Health for Life

Clemson Eye has been serving Upstate South Carolina for over 40 years, with clinics in Anderson, Clemson, Easley and Greenville.

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