Ophthalmologist Greenville | Patient 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.

What is the cost of an eye exam?

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.

Is LASIK or laser eye surgery covered by insurance?

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.

Insurance companies work for you!

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

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	Blue Choice
Blue Choice Health Plan

Medicare Plans Accepted

AARP Medicare	Aetna Medicare PPO	BCBS Medicare
Cigna Medicare	Humana Medicare PPO	Railroad & Traditional Medicare
United Healthcare Medicare	WellCare Medicare

Medicaid Plans Accepted

Absolute Total Care Medicaid	Blue Choice Medicaid -Healthy Blue	First Choice by Select Health Medicaid
Molina Medicaid/ Dual MCR Medicaid	SC State Medicaid

Commercial Health Insurance Plans Accepted

AETNA	Allegiance (Prisma Health)	BCBS
CIGNA	Humana	Multiplan Network
PAI	PHCS Network	Tricare
United HealthCare

Vision Care Plans Accepted

Avesis	Community Eye Care	EyeMed
March Vision	Physician’s Eye Care Plan	Physician’s Eye Network
Superior	VSP	Envolve

We do NOT accept the following

Anderson Access to Care Coalition	Bons Secours Medical Mutual	Block Vision
Bright Health Plans	Consumer’s Choice	Davis Vision
FEP Blue Vision	Optum Health	Peach State Health Plan
S&S

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

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.

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

Insurance Providers

Quick Links

Visual Health for Life

Contact Us

Follow Us