Vision Terminology
Insurance Basics
Common Eye Conditions
Medical vs Vision
Insurance
100

The term for difficulty seeing far away objects clearly.

What is hyperopia (farsightedness)?

100

This type of insurance plan requires patients to choose a primary care physician.

What is HMO?

100

A common condition where the lens becomes cloudy.

What is a cataract?

100

Patient has an injury (a stick in the eye) or illness (pink eye) and wants to use insurance to see the doctor.

What is medical insurance?

100

Patient has UHC but is unsure of the plan type.

What is verify online or check the payer id on the card?

200

This term describes the use of corrective lenses to improve vision.

What is refraction (or refractive correction) ? 

200

The amount a patients pays out-of-pocket before their insurance kicks in. 

What is a deductible?


200

A condition characterized by increased pressure in the eye.

What is glaucoma?

200

Patient wants to update a glasses prescriptions but notes that he has issues with dry eye.

What is medical?

200

Payor Id for WellMed.

What is Welmed or Welmed2?

300

A test that measures the smallest letters a patient can read on an eye chart. 

What is visual acuity testing?

300

The term for the portion of a claim that the patient must pay after insurance coverage.

What is copay?

300

An inflammation of the eyelid margins, often due to bacteria or allergies.

What is blepharitis?

300

Patient wants to update contacts prescription.

What is vision?

300

Plans that are not accepted.

What is NHP UHC, Blue Select, Humana Gold Plus, Aetna Medicare HMO?

400

This term refers to double vision.

What is diplopia?


400

This document details what services are covered under a health insurance plan.

What is a benefits summary?

400

The medical term for nearsightedness.

What is myopia?

400
Patient only wanted to update his glasses prescription but had a medical diagnosis during the exam.

What is medical?

400

PCP refers patient to a specialist. 

What is referral?

500

A comprehensive term for all factors affecting a persons ability to see.

What is visual function?

500

The process by which an insurance company reviews and approves a medical claim.

What is prior authorization?

500

A condition where the eye's surface is dry due to lack of moisture.

What is dry eye syndrome?

500

Patient has noticed changes in vision but does not complain of dry eye, injury, or illness. Just has a more difficult time seeing things further away.

What is vision?


500

Health insurance company approved a service, treatment or medication.

What is prior authorization?