Vision insurance vs. medical insurance. Many people may not realize that when they come to an eye doctor their visit may or may not be considered routine. With that being said, if it is routine with a diagnosis of myopia, presbyopia, etc., it is considered routine. If it is conjunctivitis, diabetes, macular degeneration, cataracts, etc., it is considered medical and may be filed medically and not routine. Some medical plans include vision coverage and others have separate vision plans. Either way, it is always a great idea to have information for both when making an appointment even if you are having a Lasik Consult.