Specialized/Therapeutic Fitting Policy

Overview of Fitting Process for Specialized/Therapeutic Contact Lenses

Many of the patients who visit Midwest Eye Care do not require contact lens fitting services.  Consequently, to be consistent with the majority of eye care providers in the metropolitan area, the cost of contact lens fitting services is separate and distinct from the exam fees charged by Midwest Eye Care doctors.  We are not able to file your contact lens product and fitting fees with an insurance company.

Nebraska and Iowa state regulations require that contact lens patients receive certain contact lens services before a contact lens prescription can be issued.  The contact lens prescription will include very specific information not determined or provided during a regular eye exam performed by the doctor. These services may require multiple office visits and lenses.  Sometimes changes in a contact lens type or design may be necessary and such services may incur additional fees.  The fitting fee must be paid at the start of the contact lens fitting process, and a contact lens prescription may only be written after all of the services are complete.

Patients being fit for disposable lenses are typically provided with trial lenses at no cost so that the contact lens optician can evaluate the fit and performance of the lenses on the patient’s eyes.  These no-cost trial lenses are typically not available for non-disposable lenses, so many patients may be required to purchase their first set of durable lenses from Midwest Eye Care.  After we have completed the evaluation, we will issue a final contact lens prescription.

Hand painted lenses for the cosmetic improvement of a discolored eye may also be purchased.  This type of fitting may require several lenses as well as additional photos and services.  Please ask us about the cost of these services if you are interested.

Specialized/Therapeutic Contact Lenses
To maximize your vision, your doctor and contact lens technician are recommending the use of specialized or therapeutic contact lenses, which are generally more complex than spherical or disposable soft lenses.  These special lenses may be needed due to genetics, presbyopia, astigmatism, dryness, corneal damage, a more difficult prescription, or any number of very special corneal conditions.  Because of these conditions, we will be using lenses that will require more fitting time, design information, possible lens changes, lens materials, and/or manufacturing technology.  These factors increase the cost of the services and lenses compared to spherical or disposable soft lenses.  The following is a list of those services and the cost involved.  Some conditions may require customized pricing.

Specialized/Therapeutic Lens Fitting Services and Fees

Level One: The patient sees the doctor or contact lens department before and/or after the doctor’s exam.  Wearing known lens parameters with a good fit, are overall satisfied with the performance of the lenses, and has little to no change or question of visual success.
Fee: $50.00

Level Two:  The patient sees the doctor or contact lens department before/and or after the doctor’s exam.  Wearing known lenses that require some changes in the fit, design, powers, brand or materials.  This typ eof visit may require a trial lens and a follow up visit.
Fee: $70.00

Level Three:  The patient sees the doctor or contact lens department before and/or after the doctor’s exam.  Wearing unknown lenses or not having worn lenses previously; or where a very complex change or changes are needed (astigmatism not included).  One or more follow up visits may be needed.
Fee: $85.00 / New to CL Wear: $100.00

Level Four: The patient sees the doctor or contact lens department before and/or after the doctor’s exam.  New fit to RGP or durable for toric lenses.
Fee: $185.00 / New to CL Wear: $100.00

Level Five: The patient sees the doctor or contact lens department before and/or after the doctor’s exam.  New fit to RGP or durable for toric lenses.
Fee: $215.00 / New to CL Wear: $230.00

Level Six: The patient sees the doctor or contact lens department before and/or after the doctor’s exam.  New fit to Keratoconus or Reverse Geometry Fit.
Fee: $250.00

Miscellaneous charges:

Corneal topography:                    $30.00

Hard lens polishing:                     $25.00