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.
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.
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||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 (PCP Referrals Required)
|Absolute Total Care (Provider Specific) ||Bluechoice Medicaid ||First Choice Medicaid (1 visit/yr, no vision plan, if under 21) |
|Medicaid for routine (if under 18) ||Molina (medical only) |
|Regular Humana Medicare Replacement|
Commercial Health Insurance Plans Accepted
|AARP || AETNA ||American General |
|Champ VA (Tricare)||Continental Life||Comprehensive Health (call to verify)|
|CIGNA ||GEHA||Golden Rule|
|Great American||Medical Mutual of Omaha||MEDCOST (not Medical Mutual of Omaha)|
|MVP||PAI (Medical Only)||Premiere|
|Regular United Healthcare||Sterling LIfe||Tricare for Life|
|Tricare Standard||Tricare Prime (verify if authorization needed)||Travelers|
|Avesis Vision||Davis Vision (Medical Only) |
Vision Care Plans Accepted
| Blue View Vision (Eye Med)||CIGNA Vision (VSP)|| Empire Blue Thru Anthem (Eye Med)|
|GUARDIAN (VSP)||Metlife Vision (VSP)||Envolve Vision|
|PEN (Blue Choice Vision)||PEP, Physicians Eye Care Plan||VSP|
|Superior Vision (Medicare Advantage Only)||EyeMed||Avesis Vision|
|Community Eye Care|
We do NOT accept the following
|Block Vision||Cigna Health Spring Medical||Consumer’s Choice |
|FEP BlueVision (Davis Vision) ||March Vision||Medical Mutual of Ohio|
|Optum Health ||S&S || Spectera |
|Superior Commerical||Supermed||Vision One (unless Eye Med or VSP)|