Is See Saw Eyecare covered by your health insurance plan?

Find your plan below for details. Make sure you understand your insurance coverage before coming for care. Coverage, authorization requirements, and cost-sharing requirements (co-pays and deductibles) may depend on your individual plan and may change by plan year.

We are in-network with the following common plans:

  • Vision Service Plan (VSP)

  • Premera

  • Regence

  • Aetna

  • Cigna

  • First Choice Network

  • Northwest Benefits Network (NBN)

  • United Healthcare

  • UMR

  • HMA

  • MetLife Vision

  • Medicare

We are NOT in-network with the following common plans:

  • Medicaid (Apple Health) plans

  • EyeMed

  • Davis Vision

  • Spectera Vision

  • Superior Vision

  • United Healthcare Vision (UHC Vision)

  • Blue View Vision

  • Molina Healthcare

  • Ambetter

See below for full list and more details.

What if I do not have health insurance, or if See Saw Eyecare is Out-Of Network or Not Covered?

No problem! Our standard comprehensive examination fee is $180. We are happy to provide a quote for services before your examination and will provide an itemized invoice that you can then submit to an insurance company, an FSA/HSA funded plan, or just keep for your records for tax deduction at the end of the year. You can pay on the day of your exam, or contact us to set up a billing plan.

How do I pay for a bill?

Simply follow the instruction on your invoice. If you do not have an invoice, check your e-mail on file or contact us and we can send you another one.

Find Your Plan:
Apple Health Plans | Medicare Plans | Private & Employer Plans | Self-Paid

Medicare

We are enrolled in the federal Medicare program. We are in-network with MOST secondary insurances BUT NOT ALL. Basic Medicare does not cover testing for glasses prescriptions or glasses frames or lenses.

  • In-Network Medicare Managed Care Plans: Aetna, Amerigroup, Molina, Premera, Regence, UnitedHealthcare, CHPW, Optum Care Network, AARP

  • Out-Of-Network Medicare Managed Care Plans: Humana, WellCare, PacificSource

Private and Employer Plans

  • Aetna
    Medical Care: All plans accepted.

  • Ambetter Marketplace
    Out-of-network. Payment for vision hardware (glasses/contacts) is due at time of service

  • Anthem
    Medical plan accepted, eye examination applies to deductible and co-insurance. Unless contracted with VSP, payment for vision hardware (glasses/contacts) is due at time of service and is submitted for patient reimbursement (at out-of-network rate).

  • Blue Cross Blue Shield of Illinois (Boeing)
    Medical plan accepted, eye examination applies to deductible and co-insurance. Payment for vision hardware (glasses/contacts) is due at time of service and is submitted to Davis Vision for patient reimbursement (at out-of-network rate).

  • Blue Cross Blue Shield (Other State Plans)
    Medical plan accepted, benefits may vary according to plan.

  • BlueView Vision
    Out-of-network. Payment for vision hardware (glasses/contacts) is due at time of service and is submitted to BlueView for patient reimbursement (at out-of-network rate).

  • Cigna
    Medical Care: OAP, SAR, PPO, GPPO plans accepted.

  • Cigna Vision (PPO)
    All plans accepted. (Please be aware that the Cigna Vision PPO network is separate from Cigna's medical plan networks.)

  • Davis Vision
    Out-of-network. Payment for vision hardware (glasses/contacts) is due at time of service and is submitted to Davis Vision for patient reimbursement (at out-of-network rate).

  • EyeMed
    Out-of-network. Payment for vision hardware (glasses/contacts) is due at time of service and is submitted to EyeMed for patient reimbursement (at out-of-network rate).

  • First Choice Health Network
    All PPO plans are accepted.

  • Group Health Cooperative
    See Kaiser Health Foundation Plan of Washington.

  • Health Net Federal Services (TriCare)
    Out-of-network. We are unable to bill TriCare for services.

  • Humana
    Out-of-network. We are unable to bill Humana for services.

  • Kaiser Permanente (Group Health Cooperative)
    In-network for Access PPO members. Core and Options plans require referral and pre-authorization from Kaiser to access See Saw Eyecare at the in-network benefit level. Contact Kaiser for more information. Please note: We are not contracted with Kaiser Foundation Health Plan of the Northwest, which offers plans on the Washington Health Benefit Exchange.

  • Labor & Industries
    We are NOT providers for L&I claims.

  • MetLife Vision
    All plans are accepted (Note: This does NOT apply to “Davis Vision by MetLife” or “Superior Vision by MetLife”).

  • Molina Marketplace
    Out-of-network. Molina Marketplace may offer vision coverage through Vision Service Plan (VSP), which we are in-network with, see “VSP” for more details.

  • Northwest Benefits Network (NBN)
    All plans are accepted.

  • Premera Blue Cross
    Most plans are accepted.

  • ProviderOne
    Out-of-network. Payment for vision hardware (glasses/contacts) is due at time of service.

  • Regence BlueShield
    Most plans are accepted.

  • Spectera
    Out-of-network. Payment for vision hardware (glasses/contacts) is due at time of service and is submitted to Spectera for patient reimbursement (at out-of-network rate).

  • Superior Vision
    Out-of-network. Payment for vision hardware (glasses/contacts) is due at time of service and is submitted to Superior Vision for patient reimbursement (at out-of-network rate).

  • UnitedHealthcare
    Most medical plans are accepted. Payment for vision hardware (glasses/contacts) is due at time of service and is submitted to UHC Vision / Spectera for patient reimbursement (at out-of-network rate).

  • Vision Service Plan (VSP)
    All plans are accepted.

Self-Paid Pricing

  • Eye Examination with Determination of Glasses Prescription: $180.00

  • Medical Eye Examination Only (E&M Level 3-4): $136.00 to $164.00

  • Contact Lens Evaluation: $30.00 to $100.00

  • Please inquire for other services and procedures.


Washington Apple Health / Medicaid

Notice: We are no longer in network with Medicaid plans as of 12/1/2023, click for more information

Notice to Medicaid Clients

Dear patients, we have come to the difficult decision to discontinue our participation in the Washington State DSHS (Apple Health) program.

Effective December 1st 2023, we will end services with the following programs:

- Washington State DSHS / ProviderOne

- Molina Healthcare

- Community Health Plan of Washington

- Coordinated Care (Ambetter)

- United Healthcare Community Plan (March Vision)

- Amerigroup (EyeQuest)

As many of you know, we started our clinic four years ago as a husband and wife team and have remained that way. This has resonated with many of our patients and we see it as part of the essential identity of our clinic. At this time, however, we are faced with an impossibly large case load. Our current wait time for an appointment is usually over two months. For reference, this is equal to over 500 pending appointments before the next one is available.

In order to maintain this growing patient base we would need to fundamentally change how our small family clinic operates. Unfortunately the office would certainly need to transform into something that looks and feels much more like a hospital clinic than a family-operated business.

We don’t actually believe that is the kind of clinic we want See Saw Eyecare to become. We are not a hospital, chain, or franchise location. We are a family business, and accept the limitations in size that requires. The only way to maintain a high level of personalized care is to increase the time we can spend with our patients and reduce the amount of time we need to spend outside clinic hours completing government-issued paperwork and forms.

We recognize that finding a network provider can be a challenging process, so following this letter is a list of recommended clinics that accept each Apple Health plan and plan resources. We will be able to send any records, on request, to your new preferred provider. Please note that there is no referral required to see a new eye care provider on any state plan. You are also free to continue your care at our clinic on an open-network fee-for-service basis. 2023 discounted fee listings will also be attached to this letter.

We would like to take this opportunity to express our gratitude for your support over the years. We have been honored to serve you and your families. Thank you for your understanding and cooperation during this time of transition. Please do not hesitate to contact us if you have any questions or concerns.

- Dr. Jon and Dr. Iwona


Medicaid Questions & Answers

Why are you no longer accepting Medicaid?

Simply put, it is too difficult as a small family-run clinic to continue the administrative work of the State insurance programs. This was a tough decision, but we (Dr. Jon and Dr. Iwona) have exceeded our personal capacity to continue to do the work that hospitals or larger health systems can more easily handle.

What locations accept my insurance?

Scroll below for a list of locations for each insurance provider and managed care plan.

When will this change happen?

November 30th is the last day we will be taking appointments for Apple Health clients. We will be in contact with anyone with an appointment after this time. We are trying to ensure that all our booking channels are updated with this information.

Can I still see you if I pay out-of-pocket?

Yes - please see our attached fee-for-service pricing, and you can continue to make an appointment as usual.

Can I still get my Medicaid covered glasses through you?

Until November 30th, 2023.

Do I need a referral to see another provider?

You do not need a referral to see another eye care provider.

How do I get my prescription/records/etc.?

Your prescription and basic information are available on your patient portal at seesaweyes.janeapp.com . If you need anything forwarded to another provider, please let us know the name and fax number of where you would like it sent. It may take 5-10 business days for records to be transferred.

How many people work for See Saw Eyecare?

Just two of us, Dr. Jon and Dr. Iwona. While we have had some temporary help from friends and family members, we are the only two here in the office all the time.

How many locations do you have?

Just one. We are not part of any groups, franchises, or chains.

Will you ever take Medicaid in the future?

We are not sure what the future holds, but the program has generally become more difficult to work with over time, so we have no plans at this time to return to taking it.