Galveston and Houston Eye Doctors commented on the billing and cost of eye refractions. “One of the most basic parts of an eye exam is checking the refraction of your eyes or an eye refraction test. This allows us to determine what your best possible vision is at that point in time while wearing a prescription optical lens and gives us the basis for prescribing a prescription optical lens,” relayed Allan Fradkin, M.D., Ophthalmologist at The Eye Clinic of Texas. The most common type of eye refraction is called a Manifest Refraction and is performed without the use of eye drops so that we can examine the eye in a natural state. If you have ever had an eye exam you are probably familiar with the “which is better, one or two” test-this is a Manifest Refraction. Another type of eye refraction is called a Cycloplegic Refraction which is performed after the instillation of eye drops to temporarily immobilize the Ciliary Muscle of the eye. This temporarily prevents you from accommodating or “focusing” up close and is used when there is a need for an even more precise measurement of refractive error. In addition, the eye drops will also dilate the pupil so the eye doctor can easily see the back of the eye to examine the retina, optic nerve and blood vessels in order to evaluate their health.


“From an insurance standpoint, eye refractions are considered part of a routine eye exam.  Because refractions are normally used to determine refractive errors such as myopia, hyperopia, and astigmatism, and therefore prescribe glasses or contact lenses, many insurance companies, particularly Medicare and Medicaid, do not pay for them.” It’s important to understand that when patients are having their eye exam, refractions are a necessary part of a routine eye exam and must be paid for out of pocket. If you have questions about the cost of your refraction or billing questions about refraction please call The Eye Clinic of Texas at 800-423-3937 and we will be glad to assist. 


The Eye Clinic of Texas is a leading eye care practice serving the greater Houston, Galveston, League City and Texas City area that provides all aspects of general, medical, surgical, laser and optical eye care services. Our Board Certified Ophthalmologists perform Laser Eye Surgery such as LASIK, Cataract Surgery & Lens Implants using advanced technology IOLs to correct complex problems such as astigmatism and near vision focusing problems including presbyopia, diagnosis and management of glaucoma, diagnosis and management of diabetic retinopathy, diagnosis and management of Age Related Macular Degeneration (AMD) and Pediatric Ophthalmology. Texas EyeWear at The Eye Clinic of Texas provides personalized consultation and fitting of eyeglasses and eyeglass lenses for greater Houston, Galveston, League City and Texas City area patients.


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