Committed to a More Personalized Patient Experience

The Benefits of Direct Ophthalmology Care

If you feel like you’re waiting longer to see your ophthalmologist and spending less time with them in the exam room, you’re not alone. When insurance companies are focused only on their bottom lines, providers are pressured to fit in as many appointments as they can in a day. Unfortunately, that results in unanswered questions and frustration.

dr esparaz smiling in an operating room

At Envision Ophthalmology & Wellness, a direct pay patient practice in Cleveland, Dr. E. Shanika Esparaz and her team are bringing back a true physician-patient relationship – one in which your eye health and quality of life always come first.

Without an insurance provider in the picture, we’re able to not only dedicate the time needed to treat your vision problems, but also address the underlying conditions that cause them to slow or even stop the progression of the disease. In addition, as a board-certified Lifestyle Medicine specialist, Dr. Esparaz offers counseling on nutrition, exercise, and sleep hygiene for a whole-body approach to care. We are a medicare provider – medicare patients please contact us for more information.

Why Choose Direct Patient Care

For one low monthly membership fee, Envision patients receive direct access to high-quality, evidence-based ophthalmology care that fits your needs and schedule.

Lower costs and no surprise pricing. At Envision, you no longer have to worry about expensive vision insurance co-pays or deductibles. Your membership fee covers all of your general ophthalmology care, in-office diagnostic testing, and for our retina patients, your injections. Any costs in regards to laser or surgery or disclosed before your procedure. Some of our patients may qualify for in-home injections as well.

No more waiting. You no longer have to wait weeks or months to book an appointment with your ophthalmologist .Most routine visits can be scheduled within a week of your call, and emergencies the same day or next day.

Extended visits for better outcomes. Dr. Esparaz spends quality face-to-face time with you at every visit to listen to your concerns, educate you on your options, and help you choose the right treatment plan.

Compassionate and personalized care. At Envision, we treat you like family, getting to know you one-on-one so we can tailor care around all aspects of wellness, not just your vision condition.

Direct access to your provider. If you have questions at any time, you can contact Dr. Esparaz directly by email or text.

Better coordination of care. While some vision problems are related to aging, many are caused by conditions such as diabetes and hypertension. As your medical advocate, Dr. Esparaz will work directly with your other physicians to provide collaborative care.

elderly man having his eyes looked at in envision

Direct Pay Comparison

By becoming a member of Envision Ophthalmology & Wellness, you can save hundreds on eye care when compared to traditional insurance pricing. Even more important, you’ll receive the personalized you deserve from an eye specialist you can trust. Below are just a few examples, contact us if you have questions on pricing of other services.

Scroll table left & right.

white logo Insurance Based Model

Comprehensive Eye Examination by an Ophthalmologist

The American Academy of Ophthalmology recommends a comprehensive medical eye exam even for asymptomatic patients starting at age 40.


  • Dilated eye examination+ OCT (imaging of retinal and optic nerve for screening of diseases like macular degeneration and glaucoma these are not included in typical eye examin tions or covered by insurance)+ lifestyle medicine counseling

$500 New Level 4 Visit + $50 Copayment = $550

  • ~ 3 min= Average time spent with ophthalmologist *
  • Does not include retinal or optic nerve OCT
  • Does not include Lifestyle Medicine & Wellness counseling

Retinal Consultation

Recommended for patients with a variety of retinal conditions such as macular degeneration, diabetic retinopathy, retinal vein occlusions, retinal bleeding and edema, and more.


  • Dilated eye examination, extensive retinal photography (take home pictures if you wish)
  • Extended face-to-face time with your physician
  • Lifestyle Wellness Counseling
  • Care coordination

$500 New Level 4 Visit + $200 Retinal Imaging + $50 Copayment = $750

  • ~ 3 min= Average face to face time spent with an ophthalmologist*
  • Does not include Lifestyle Medicine & Wellness counseling

Laser Peripheral Iridotomy (LPI) Evaluation and Same Day Laser

Recommended for patients at risk of narrow angle glaucoma. Laser treatment can prevent permanent vision loss. bleeding and edema, and more.

$350 Laser for 1 Eye/ $500 Laser for Both Eyes (Includes examination fee)

  • Evaluation and in office laser treatment can be scheduled same day
  • No facility fee
  • Includes follow ups for first month +

$500 New Level 4 Visit + Copayment + $600 (laser for both eyes)

(separate day for laser) facility fee +laser fee ~ total is variable depending on facility fee but likely range >additional $300+

  • Two visits for laser
  • Procedure not performed in office but at surgery center

Direct Pay Comparison

By becoming a member of Envision Ophthalmology & Wellness, you can save hundreds on eye care when compared to traditional insurance pricing. Even more important, you’ll receive the personalized you deserve from an eye specialist you can trust.

*Reference for time spent with physician: Baxter SL, Gali HE, Chiang MF, Hribar MR, Ohno-Machado L, El-Kareh R, Huang AE, Chen HE, Camp AS, Kikkawa DO, Korn BS, Lee JE, Longhurst CA, Millen M. Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era. Appl Clin Inform. 2020 Jan;11(1):130-141. doi: 10.1055/s-0040-1701255. Epub 2020 Feb 19. PMID: 32074650; PMCID: PMC7030957

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