(301) 770-4636
Lawrence S. Frank, MD
Seema A. Gupta, MD

Routine vs Medical Exams


Eye Exam

Routine eye exams for patients with no existing medical eye conditions do not need to be performed on a yearly basis, unless desired by the patient. Patient’s with medical eye conditions are however recommended to be seen by an ophthalmologist at least once a year.

The procedure for routine and medical dilated eye exams are the same, and will include a vision check, pressure check, and dilation. However, if the examining doctor finds a diagnosable medical eye condition upon dilation of the eyes, the visit will be considered a medical visit. If the doctor finds that the eyes are healthy and no medical eye conditions exist, the exam will be considered a routine exam.

As of 2012, our office ONLY accepts medical insurance, and no longer accepts vision plans. Due to this change, the only type of visit that is covered by medical insurance is a medical eye exam. Routine eye exams will not be covered by medical insurance at our office and will require patients to pay out of pocket. Nearsightedness, farsightedness, and astigmatism fall under the category of refractive services and DO NOT qualify as medical conditions.

For more information on routine vs. medical eye exams, please click here. 1

Reference:

1. Vision Source Longmont. (2015, January 13). Vision eye examinations versus medical eye examinations. Retrieved from
    http://visionsourcelongmont.com/wp-content/uploads/sites/1134/2014/02/1.13.2015-Vision-
    Eye- Examinations-versus-Medical-Eye-Examinations-Release-Form.pdf