If your eye exam results in a medical diagnosis, the doctor will bill your medical plan for the exam. However, you will still be responsible for the refraction charges.

If you visited a BCBS FEP Vision in-network provider, submit an out-of-network claim form for the refraction charge along with your medical Explanation of Benefits (EOB) showing the portion of the eye exam that was paid. Reimbursement for the refraction service is paid up to the maximum allowance for both High Option and Standard Option members.

For High Option members, if the doctor is not in the vision network, you can still be reimbursed up to the maximum allowance for your refraction services by following the same claims submission process. Please note that you will be responsible for any medical office co-pays.