Insurance FAQs

Insurance FAQs

Austin Eye accepts most types of medical insurance plans. As insurance policies vary greatly, we recommend that you check with your insurance carrier regarding the details of your coverage prior to any visit at Austin Eye. We are considered specialists and file accordingly.

As a guide for our patients, Austin Eye has provided some common insurance definitions in the table below. This information should be used only as a guide. Specific details or questions regarding your medical insurance should be requested directly from your specific insurance provider.


Medicare and Commercial PlansYes. We are in-network with most commercial plans, Medicare, and Medicare replacement plans/supplements.
*These plans can be PPO/POS/EPO or HMO, see below*
Examples include (but are not limited to): Advantage plans, Aetna, BCBS, Cigna, Humana, Tricare, UHC.
Medicaid and other Government Funded PlansNo. We are not providers for Medicaid and other various government funded plans. We are legally unable to see patients with these plans.Examples include (but not limited to): Traditional Medicaid and QMB, Sendero, Ideal Care, MAP, CHIP, Ambetter.
Vision PlansNo. We are not providers for ANY vison plans or vision benefits.Examples include (but not limited to): VSP, Superior Vision, EyeMed, Guardian.


HMOHMO plans require you to obtain a referral from your primary care physician prior to your eye appointment.What if I don’t have a referral? Visits without a referral are considered unauthorized and full payment falls on the responsibility of the patient at the time of the appointment.
PPO/POS/EPOIn most cases, you do not need to obtain a referral prior to being seen.You are responsible for any specialist copay, co-insurance and/or unmet deductible.
DeductibleA deductible is the amount you are financially responsible for before your insurance company starts to pay for your medical services.You will be subject to your contracted deductible with your medical insurance. With an unmet deductible, most insurance will apply office visits/surgery towards your deductible.
CopayA copay is the set dollar amount you pay upfront for any office visit.This amount is usually listed on your card next to “specialist”.
CoinsuranceA coinsurance is the percentage of the total cost of your medical service.Your coinsurance will apply after you have met your annual deductible.
RefractionRefractions are performed to generate glasses/contact lens prescription and for diagnostic purposes.The refraction is $65 and billed separately from your medical exam and is not covered by most medical insurances.

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The Mitchel and Shannon Wong Eye Institute

The Mitchel and Shannon Wong Eye Institute

The Mitchel and Shannon Wong Eye Institute, recently created at the Dell Medical School, is poised to become a leading-edge center for training future ophthalmologists and providing patients with the best medical and surgical eye care possible.

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Austin Eye

11901 Jollyville Road
Austin, TX 78759

Phone: (512) 250-2020
Fax: (512) 250-2612

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Office Hours
Monday – Thursday 8am – 6pm
Friday 8am – Noon
Saturday/Sunday Closed

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