The Optomap is a high-tech extremely useful tool to help our Doctors in the early detection of many retinal diseases. Your insurance company will not cover the Optomap test unless a medical diagnosis is found. If everything looks healthy, your insurance company considers this test to be a screening and therefore will not cover the cost. The Optomap is a mere $39 charge for piece of mind that everything within the eye is healthy. Most insurance companies consider contact lenses and the fitting and evaluation of contact lenses to be cosmetic. An annual contact lens update is needed yearly in the State of NH to keep your contact lens prescription valid. Since it is deemed by your insurance company to be cosmetic they will not cover the cost of a contact lens fitting and evaluation.