What Is Refraction & Why Doesn't My Health Insurance Cover It?

A refraction is a test done by your eye doctor to determine if glasses will make you see better.

The charges for a refraction are covered by some insurances but not by all.

For example, Medicare does not cover refractions because they consider it part of a “routine” exam and Medicare doesn’t cover most “routine” procedures--only health-related procedures.

So if you have a medical eye problem like cataracts, dry eyes, or glaucoma then Medicare and most other health insurances will cover the medical portion of the eye exam but not the refraction.

Some people have both health insurance--which covers medical eye problems--and vision insurance--which covers “routine” eye care (no medical problems) such as refractions and eyeglasses.

If you come in for a routine exam with no medical eye problems or complaints and you have a vision plan, then the refraction is usually covered by your vision insurance.

Mission Statement

Our doctors and staff are committed to providing thorough care with personal attention. At Eye Doctors of Madison, you will find the compassionate care of a small-town doctors' office with the knowledge of a big-city institution. It is our mission to not only treat each patient uniquely but also like family.

Latest News

The Role of Punctal Plugs for Dry Eyes
The Role of Punctal Plugs for Dry Eyes Punctal plugs are something we use to help treat Dry Eye Syndrome.   This syndrome is a multifactorial problem that comes from a generalized decrease in...
Giving the Precious Gift of Sight
Giving the Precious Gift of Sight An old Creek Indian proverb states, "We warm our hands by the fires we did not build, we drink the water from the wells we did not dig, we eat the fruit of the tre...