Insurance Information
At Ophthalmology Associates, S.C., we strive to make quality eye care accessible and stress-free for our patients. We accept a wide range of insurance plans and work closely with you to understand your coverage, co-pays, and billing options. Our team is here to guide you through every step, ensuring your focus remains on your vision and health.
Categories
Payment
Ophthamology Associates S.C accepts personal checks, cash or payments by MasterCard, Visa, and Discover. Credit card payments may be taken in person or over the phone. You can also pay your bill online using the patient portal.
Disclaimer: This is not a comprehensive list of all in network plans, nor does this list guarantee payment. Please confirm with your insurance company that your plan is in network prior to scheduling your appointment.
Insurance Partners We Accept
At Ophthalmology Associates, S.C., we accept most major insurance plans. Below is a list of common insurance providers we work with:
Commercial Insurance Plans
- Aetna
- Anthem Blue Cross Blue Shield
- Centivo
- Cigna
- Humana
- Maritain
- Quartz
- United Healthcare
Medicare Plans
- Anthem Medicare
- Humana Medicare
- Medicare Part B
- United Healthcare / AARP
- Medicare
Medicaid / State Plans
- Chorus Community Health Plan
- Forward Health T19
- United Healthcare T19
Please note that this list may not be all‑inclusive. Coverage can vary by plan. We recommend contacting your insurance provider or our office to confirm coverage prior to your appointment.
Medicare Programs
- Medicare
- AARP Medicare Complete (HMO & Essential HMO)
- Aetna Medicare Advantage
- Anthem Mediblue Select HMO
- Anthem Medicare Preferred (Core Ppo, Select Ppo, PPFS)
- Care Improvement Plus of WI
- Humana Medicare (Choice, Employer, PPO, Gold, PFFS, PPO)
- United Healthcare Medicare Community Plan
- United Healthcare Medicare Solutions (PPO/HMO/POS)
- United Healthcare Navigate (HMO Navigate, Balanced, Plus)
- ICare Medicare
- Network Health Medicare
Vision Programs
- Blue View Vision (only through eyemed)
- Eyemed
- NVA
T19 Plans
- T19/Forward straight
- T19/Forward Badger Care Plus
- Anthem Medicaid - medical only
- Badger Care Plus Basic Plan
- Badger Care Plus Core Plan
- Badger Care Plus Standard Plan
- Badger Care Plus Benchmark Plan
- Badger Care Plus Benchmark Plan and Dental
- Children's Community
- Family Care/Community Care
- Medicaid
- Medicaid for Foster Care
- Medicaid for SSI
- Medicaid Purchase Plan/Purchase plan Waiver
- QMB - Does not pay for refractions/glasses/routine
- Chorus Community Health Plan
- United Health Community Plan (AMERICHOICE)
- Wisconsin Well Woman Medicaid
- ICare
Marketplace Plans
- Common Ground ENVISION
- Molina
- Network Health Plan
- Together with Children's Community Health Plan
Contracted Insurance Plans
- AARP
- Aetna PPO Medical only
- Anthem Blue Cross PPO
- Cigna
- Common Ground ENVISION (including Aurora/Bellin)
- GWH-Cigna
- Health EOS (formerly HCN)
- Health Payment Systems
- Highmark Blue Cross (Anthem)
- Humana (Choice, PPO, EPO, POS)
- Midwest Security (UMR)
- Multiplan
- UMR
- United Healthcare Navigate (Hmo Navigate, Balanced, Plus)
- United Healthcare
- United Health Integrated Services
- Wheaton Franciscan Provider Network (WFPN)
- Wheaton Franciscan Associate Network (WFAN)
- WPS
Let's Talk About Insurance
Insurance has always been confusing, especially when it comes to eye care. It is possible you may have Vision Insurance in addition to your Medical Insurance.
We accept two insurance types:
Vision Insurance
Medical Insurance
How are they different?
Vision insurance is designed to pay towards a comprehensive “routine” eye examination that checks for, but finds no medical problem.
Medical insurance pays towards eye care visits that are medical in nature. Examples include: infections, floaters/flashes, loss of vision, glaucoma, cataracts, diabetes and many more.
What do they pay for?
Determining your eyeglass prescription is included in a comprehensive exam.
Vision insurance often pays for a portion of eyeglasses or contacts.
When there is a medical diagnosis like diabetes, cataracts, or the examples above, we are required to submit the exam to medical, not vision insurance.
What don't they pay for?
Most vision insurances do not pay towards a contact lens fitting, but they may offer a discount for these services.
In most cases, a comprehensive examination that is medical in nature does not pay for an eyeglass prescription.