Starting July 1, 2022, Aetna no longer requires precertification for cataract surgeries for any of their commercial or Medicare plans, with the exception of their Medicare Advantage plans in Georgia and Florida. This is great news for optometrists. Not only are preauthorizations costly and time-consuming for the office, but waiting on the approval causes unnecessary delays in patients’ access to care.
Insurance Billing for Optometrists

OBS was the first billing company in the country dedicated solely to optometry, and we’ve remained the industry leader since our beginnings in 2005. With clinics in over 40 states,...
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Optometric Billing Solutions was founded on a mission to help doctors regain financial control over their insurance billing. Our team of over 100 experienced billing specialists...
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Do you need help with your billing but have concerns about turning it over to an outside company? You are wise to be cautious! We get frequent calls from optometrists who have...
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Practice Pointers is a series we recently published with great billing tips for busy practices. We’ve included some of the most popular posts here. ...
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Aetna drops prior approval requirement for cataract surgeries
Glasses After Cataract Surgery
Glasses after cataract surgery can be really confusing for some of our practices, so let’s see if we can help you out! If your patient is insured by traditional Medicare, then the glasses are filed to DMERC, not Medicare, but you have to be credentialed with DMERC. However, if your patient has a Medicare Advantage plan, then the glasses are filed to the replacement plan, not DMERC. If the patient’s primary insurance in a commercial insurance, file there. Hope that helps! And please remember, any time you have a billing questions, don’t hesitate to call your coordinator. We love sharing our expertise.