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Honored Contributor
Posts: 25,929
Registered: ‎03-09-2010

Re: Question about my Opthamologist examine?

On 3/15/2014 gonnab said:

If your vision did not change, why would you expect the doc to give you a new prescription?

Exactly what I thought.

Valued Contributor
Posts: 698
Registered: ‎03-09-2010

Re: Question about my Opthamologist examine?

When I schedule an examination with my Ophthalmologist, they always ask if I would also like to be refracted. If I say yes, they do it. I see the doctor 2 times a year, due to new onset floaters.

If my exam and refraction indicate my prescription has changed, my doc gives me a new prescription.

I agree with others that the use of the term "fraud" to describe the act of using out of date exam results is a bit much.

Honored Contributor
Posts: 43,165
Registered: ‎03-09-2010

Re: Question about my Opthamologist examine?

i go to see an optometrist every year.....he does a complete exam (including glaucoma, eye dilation, and more) and gives me a new prescription each time, even if it has not changed. my health insurance covers one visit per year and my co-pay is 10.00.

if i have any major problems then i go to see an ophthalmologist.

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"The world is a dangerous place, not because of those who do evil, but because of those who look on and do nothing." - Albert Einstein
Valued Contributor
Posts: 720
Registered: ‎03-10-2010

Re: Question about my Opthamologist examine?

On 3/15/2014 rambocat said:

If you're on Medicare, they cover Ophthalmologist's visits. They have specific rules about the timeline of certain tests. It could be that unless the Dr suspected a problem they won't won't pay for an exam to change your prescription so soon.

An example is mammograms are covered every 366 days, unless there is a problem and the test is need sooner.

Did PV give you an exam or just copy your current prescription?

Medicare does not pay for a routine eye exam. Medicare only pays if you have something medical going on with your eyes (cataracts, glaucoma, diabetes etc). Medicare does not pay for a refraction. Also, your deductible has to be met, unless your supplement insurance pays your deductible for you.

Valued Contributor
Posts: 663
Registered: ‎06-17-2010

Re: Question about my Opthamologist examine?

On 3/15/2014 Matty6 said:

What are sun classes?

I assume you're joking.
Frequent Contributor
Posts: 76
Registered: ‎03-09-2010

Re: Question about my Opthamologist examine?

On 3/15/2014 BLH said:
On 3/15/2014 rambocat said:

If you're on Medicare, they cover Ophthalmologist's visits. They have specific rules about the timeline of certain tests. It could be that unless the Dr suspected a problem they won't won't pay for an exam to change your prescription so soon.

An example is mammograms are covered every 366 days, unless there is a problem and the test is need sooner.

Did PV give you an exam or just copy your current prescription?

Medicare does not pay for a routine eye exam. Medicare only pays if you have something medical going on with your eyes (cataracts, glaucoma, diabetes etc). Medicare does not pay for a refraction. Also, your deductible has to be met, unless your supplement insurance pays your deductible for you.

You're right...my error. Medicare pays for Ophthalmologist visits because of medical problems with your eyes, which I have and the OP has due to cataracts. Now that you mention it, I do recall paying for refraction. Medicare will also cover the cost of one pair of glasses after cataract surgery which she said she wasn't ready for yet.

After re-reading the OP's post, am I correct in thinking that she just wanted her current prescription put into sun glasses. If that's the case any optical shop could "read" her prescription from her current glasses and make new lenses and also sell her new frames. She wouldn't need a written prescription at all.

Sounds like a big fuss over nothing. IMO

Respected Contributor
Posts: 3,958
Registered: ‎09-28-2010

Re: Question about my Opthamologist examine?

Did the ophthalmologist do an actual eyeglass exam (refraction) during your visit or was it determined that your vision had not changed based on reading the chart with your glasses on? A prescription would not be written based on your reading the eye chart.

My ophthalmologist does not do the eyeglass exam automatically during a visit, but does have me read the eye chart with and without my glasses on. If I want the refraction exam, I have to request it and it is an additional charge for it AND it is not performed by him, but by a licensed tech on his staff.

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Regular Contributor
Posts: 243
Registered: ‎05-13-2010

Re: Question about my Opthamologist examine?

On 3/15/2014 happy housewife said:
On 3/15/2014 gonnab said:

If your vision did not change, why would you expect the doc to give you a new prescription?

Exactly what I thought.

Mine did incase I wanted to order elsewhere like online etc. Also I have a written prescription that would "prove" my eyes had not changed incase someone else said they did.

Regular Contributor
Posts: 201
Registered: ‎05-20-2011

Re: Question about my Opthamologist examine?

The whole eye exam thing isn't this complicated...go to a doctor you trust...an OD or an MD...and stick with him. If you don't trust him enough to go the distance with him--through the glasses--why go to him in the first place? Why make a major production out of something when it is not necessary? Frequently, optometrists and ophthalmologists co-manage cases such as cataracts and glaucoma, and work very well together. Both are doctors...one is not better than the other...they each have different specialties...if you are trying to save money, try it somewhere besides your health care.
Frequent Contributor
Posts: 76
Registered: ‎03-09-2010

Re: Question about my Opthamologist examine?

On 3/15/2014 mandymom said: The whole eye exam thing isn't this complicated...go to a doctor you trust...an OD or an MD...and stick with him. If you don't trust him enough to go the distance with him--through the glasses--why go to him in the first place? Why make a major production out of something when it is not necessary? Frequently, optometrists and ophthalmologists co-manage cases such as cataracts and glaucoma, and work very well together. Both are doctors...one is not better than the other...they each have different specialties...if you are trying to save money, try it somewhere besides your health care.

Totally agree!!