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We're located in the Kyle HEB Shopping Center at 5401 FM 1626 Suite 110

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The Difference between Health Insurance and Vision Plans

The cost of routine and medically necessary eye care and prescription eye wear can be of real concern, especially for large families. Often your health insurance and vision plan can lower these expenses. The difference between health insurance and vision plans is a source of frequent misunderstanding in eye care, however.

A vision plan (often sold, or included, as an additional benefit to your health insurance plan) is not health insurance for your eyes. Your regular health insurance covers you against expenses arising from eye problems other than those corrected by glasses and contacts, eye injuries and eye disease and has no set frequency or annual limitation. A vision plan on the other hand is a wellness benefit that provide an annual vision exam when there are no medical symptoms, diagnoses or conditions affecting the vision or health of the eyes. It will typically provide some coverage towards the purchase of glasses or contacts if necessary to correction vision.

Examples of common medical conditions that necessitate eye-care not covered by vision plans include:

  • Symptoms such as eye pain, sensitivity, redness, itching, discharge, flashes, floaters, etc.
  • Eye Allergies, Dry Eye, Eyelid Bumps, Styes, Droopy Eyelids
  • Diabetes or Pre-Diabetes
  • Certain high risk medications such as Plaquenil or Hydroxychloroquine
  • Lazy Eye, Strabismus, Amblyopia or Blind in One Eye
  • Cataracts
  • Glaucoma
  • Macular Degeneration
  • Elevated Eye Pressure
  • Keratoconus or highly irregular Astigmatism
  • Pathological / Degenerative Myopia – i.e. A glasses prescription exceeding -6.00
  • A history of any eye surgery other than LASIK or PRK – i.e. Cataract, Pterygium, Glaucoma, Radial Keratotomy (RK), Retinal Surgery, Intraocular Injection, etc.

We strive to have all our patient’s health insurance and vision plan information verified before their appointment in order to keep our patient wait times to a minimum, and to eliminate the need for us to bill our patients at a later date because a vision plan denied services or because of an unmet deductible. The world of insurance is constantly changing, but our staff is always available to answer questions.

Health Insurance Plans we accept:

  • Aetna PPO and HMO
  • Blue Cross Blue Shield PPO and HMO
  • Cigna PPO and HMO (Excluded: LocalPlus, Surefit, Focus, and Connect plans)
  • Humana PPO
  • Physicians Health Choice
  • Private Health Care System (PHCS)
  • Medicare Part B
  • Multiplan
  • Texas Municipal League (TML)
  • United Healthcare PPO and HMO (Excluded: MedicareComplete and DualComplete plans)
  • United Healthcare (GEHA)
  • United Healthcare (Golden Rule)
  • United Healthcare (UMR)

Vision Plans we accept:

  • Aetna Vision
  • Blue View Vision through Eyemed
  • Cigna Vision
  • Davis Vision (Only Travis County and City of Austin Plans)
  • EyeMed
  • Humana Vision
  • Humana Vision Care Plan
  • Metlife Vision
  • Superior Vision (Not Superior Medicaid)
  • Texas Municipal League (TML)
  • Vision Service Plan (VSP)
  • Vision insurance is designed to provide routine eye care, prescription eyewear and other vision-related services at a reduced cost. Learn about types of plans, coverage and payment options.  
  • Make the most of your vision insurance plan by understanding your particular vision coverage.
  • As a service to our patients, we are pleased to offer the CareCredit card, the nation's leading patient payment program. CareCredit lets you begin your procedure immediately—then pay for it over time with low monthly payments that are easy to fit into your monthly budget.

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Welcome to Texas State Optical Kyle

Welcome to Texas State Optical Kyle

Our Location

5401 FM 1626 STE 110
Kyle, TX 78640