Eye Exam Costs, Fees & Insurance in Santa Monica

Transparent Eye Exam Pricing at OptiHealth Optometry

At OptiHealth Optometry, we believe in transparent pricing and thoughtful, personalized eye care. We take the time to understand your vision and eye health — without surprise fees or rushed visits.

Below is an overview of our most common services. If you have questions about coverage or your specific needs, we’re always happy to help.

How Much Does an Eye Exam Cost in Santa Monica?

Comprehensive Eye Exam — $175

Includes a full evaluation of vision and eye health, refraction, and personalized recommendations.

Eye Exam + Contact Lens Fitting

(Comprehensive, all-inclusive pricing)

  • Spherical contact lenses: $250

  • Toric or Multifocal contact lenses: $300

Includes: Comprehensive eye exam, contact lens fitting and any related follow-up visits

Medical Office Visits

  • Medical office visit (outside annual exam): $85

  • Follow-up visit: $55

Medical Insurance vs Vision Insurance for Eye Exams

Medical Insurance

We accept Medicare and select medical insurance plans. Coverage varies by plan and diagnosis. Our office is happy to verify benefits and explain how your insurance may apply to your visit.

Vision Insurance

We are an out-of-network provider for most vision plans. Many patients still receive reimbursement for exams or materials, and we’re happy to assist with submitting out-of-network claims when applicable.

Medical vs. Vision Coverage — What’s the Difference?

Medical insurance may apply when an eye exam is performed to evaluate or manage a medical eye condition, such as:

  • Dry eye disease

  • Glaucoma or glaucoma suspicion

  • Eye infections or inflammation

  • Sudden vision changes

Routine vision exams and contact lens services are typically not covered by medical insurance.

If you’re unsure which applies to your visit, we’re happy to help clarify.

Advanced & Specialty Services

We offer a range of advanced diagnostic and treatment options, including:

  • Dry eye evaluation and in-office treatment (IPL, RF, gland expression)

  • OCT imaging

  • Visual field testing

These services are recommended based on clinical findings and individualized care plans. Pricing is discussed at the time of evaluation.

Appointment Cancellation & No-Show Policy

We value your time and reserve appointment slots specifically for you. To help us provide timely care to all patients, we kindly ask for at least 24 hours’ notice if you need to cancel or reschedule your appointment.

Appointments that are missed, or cancelled or rescheduled with less than 24 hours’ notice, may be subject to a no-show fee.

If an emergency arises, please contact our office as soon as possible — we’re always happy to work with you when circumstances are unavoidable.

Frequently Asked Questions

Do you accept insurance for eye exams in Santa Monica?

Yes. We accept Medicare and select medical insurance plans. Coverage depends on your specific plan and the reason for your visit. Our office is happy to verify benefits and help you understand how your insurance may apply before your appointment.

For patients with vision insurance, we are an out-of-network provider for most plans. Many patients still receive reimbursement, and we can assist with submitting out-of-network claims when applicable.

Is the contact lens exam separate from the eye exam?

No. At OptiHealth Optometry, our contact lens exam fees are all-inclusive.

Our contact lens pricing includes:

  • A comprehensive eye exam

  • Contact lens fitting

  • Necessary follow-up visits

This means there are no surprise add-on fees after your visit. Pricing varies based on lens complexity (spherical vs. toric or multifocal), which reflects the additional time and expertise required for specialty fittings.

What is the difference between medical insurance and vision insurance for eye exams?

Medical insurance may apply when an eye exam is performed to evaluate or manage a medical eye condition, such as dry eye disease, glaucoma, eye infections, or sudden vision changes.

Vision insurance typically applies to routine vision exams and may offer allowances toward glasses or contact lenses. Contact lens services are usually not covered by medical insurance.

If you’re unsure which type of insurance applies to your visit, our team is happy to help clarify.

Why don’t you list prices for dry eye treatments on your website?

Dry eye treatment is highly individualized. The type and number of treatments recommended depend on the severity of disease, response to therapy, and clinical findings during your evaluation.

Rather than offering one-size-fits-all pricing, we discuss treatment options and costs after a comprehensive dry eye assessment, ensuring recommendations are appropriate and medically guided — not based on packages alone.

Can I get an estimate before my appointment?

Yes. While insurance coverage varies, we are happy to review your benefits and provide an estimate of expected fees whenever possible. Transparency is important to us, and we encourage patients to ask questions before their visit.

Do you offer payment plans or flexible options?

For certain services, flexible payment options may be available. Please contact our office to discuss what options may be appropriate for your care.

Questions?

If you have questions about fees, insurance, or what to expect at your visit, please call or text our office — we’re happy to help you understand your options and plan your care.

Fees are subject to change. Insurance coverage varies by plan and medical necessity.