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Home » What’s New » Vision Therapy Evaluation Fees & Insurance: What CVD Patients Should Know

Let’s talk about the questions everyone has (and no one wants to guess on)

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If you’re considering a Vision Therapy Evaluation at The Center for Vision Development (CVD), you’re probably wondering:

  1. “How much does it cost?”
  2. “Do you take insurance?”
  3. “What happens if we need to reschedule?”
  4. “Can I get reimbursed?”

You deserve straightforward answers, so here they are—based on our current fees and insurance policies.

Appointment & cancellation policy (please read this before you schedule)

We require 48 hours’ notice to cancel or reschedule. Appointments canceled with less than 48 hours’ notice may have a late cancellation fee of $50–$150.

A few important specifics:

  1. Monday appointments should be canceled by the Thursday prior to avoid a late cancellation fee.
  2. To cancel/reschedule, call or text 512-329-8900 (cancellations are not accepted via email).
  3. No call / no show: the patient/parent is billed for the full amount of the exam.
  4. Arrive 15 minutes early so your appointment can start on time.

New patient forms (what to do so you don’t get rescheduled)

New patient forms must be completed online no later than 2 days prior to your appointment. If forms aren’t completed in time, you may need to reschedule.

Forms are provided via email/text links, and they’re also accessible via the website (scroll down to Contact Us to find the list).

Common forms include: release of records (if applicable), a vision questionnaire (infant/toddler, child, or adult), and disclosures authorization.

Insurance (the most important part to understand)

CVD is out-of-network with all insurance plans

We are out of network, do not file claims, and do not accept insurance payments. Patients are private pay and payment is due in full at the time of service.

Medicare beneficiaries: required disclosure + opt-out policy

If you have Medicare, you must disclose this before receiving services. We have Opt Out status with Medicare, which means Medicare beneficiaries are not eligible to file claims for reimbursement. Medicare patients (including MediGap) must sign a Private Contract agreeing to pay out-of-pocket and not file claims.

This also applies to many Medicare Advantage plans.

Can commercial insurance reimburse me?

If you’re not Medicare, you may choose to seek reimbursement by filing your own claim. Once payment is received and the consult is attended, we provide receipts with the codes/information needed to file. Claims are filed to major medical (not vision), and reimbursement depends on your policy.

What’s included in the Vision Therapy Evaluation?

The Vision Therapy Evaluation typically includes two to three appointments:

  1. Testing: 150–210 minutes (may be completed in one visit or split into two if needed)
  2. Consult: 60 minutes to review results and recommendations
  3. For children, the consult is typically for parents; the child does not need to attend

Annual eye exam requirement

All patients must have had an annual eye exam within the last 6 months. If your evaluation is scheduled without the annual exam, you agree to complete an eye exam before starting therapy. We can recommend trusted providers who accept vision insurance.

2026 fees: evaluation types (child vs. adult)

Here are the published 2026 fees.

Developmental Vision Evaluation

  1. Child: $1895 (without annual exam) / $2125 (with annual exam)
  2. Adult: $1995 (without annual exam) / $2225 (with annual exam)

Head Trauma Vision Evaluation

  1. Child: $1895 / $2125
  2. Adult: $1995 / $2225

Amblyopia / Strabismus Vision Evaluation

This may include a special dilated exam that can cause near blur for several hours afterward.

  1. Child: $2140 / $2295
  2. Adult: $2240 / $2395

Vision therapy program fees

  1. Vision Therapy sessions: $220 per session
  2. VT Re-evaluation exam: performed every 10 weeks to monitor progress
  3. Sensorimotor exam: $430
  4. Campimetry visual field test: $125 (performed every 20 weeks)

How to talk to your insurance company

We note an important detail: the therapy codes used for sessions aren’t described as “vision therapy,” and using that generic phrase can sometimes lead to confusion. It’s better to ask about coverage using the official procedure codes and descriptions.

We also recommend asking whether therapy procedure codes are covered when billed with a vision diagnosis, whether there are visit limits, and how to file claims.

“Network GAP exception” (worth asking about)

We provide a letter of medical necessity that can be submitted to request reimbursement at the in-network level if your insurer can’t provide an in-network provider offering this treatment—often called a network GAP exception. The letter is provided at the consult.

Payment support options

We note there may be:

  1. payment package options with discounts
  2. deferred/low-interest financing options
  3. customized programs designed to work within a patient’s ability to pay

Ready to schedule or have more questions?

Call/text 512-329-8900 to schedule or ask billing/insurance questions before your visit.

2025 Visionary of the Month v3