State & FederalMedicare AdvantageFebruary 1, 2019

Anthem eye refraction and routine eye exam billing information

Refractions and routine eye exams are not covered under medical insurance for Anthem members. These benefits may be available through the member’s supplemental insurance. These services must be billed to the supplemental vendor. Check your patient’s Anthem ID card for the name of the vendor.

Additional information, including billing modifiers and documentation requirements, will be available at anthem.com/ca/medicareprovider under Important Medicare Advantage Updates.