State & FederalMedicare AdvantageJanuary 31, 2019

Empire eye refraction and routine eye exam billing information

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Refractions and routine eye exams are not covered under medical insurance for Empire 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 Empire ID card for the name of the vendor.

 

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