Individuals and families come to us seeking professional help with vision therapy, but may find medical insurance will not readily help cover the out of pocket costs.  

Often a gap exception, or network deficiency exception, may be applied for.  This will allow for payments to be applied towards in-network deductibles, but not every insurance company makes this possible. 

We understand the commitment required of Vision Therapy, but we are also aware of the truly life-changing impact Vision Therapy can have on children and adults of all ages. Our goal is to ensure insurance or any financial reason is not the barrier preventing you / your child from receiving the necessary life-changing care.

It’s important to understand the unwillingness of your insurance company to pay for services does not reduce the need for obtaining treatment. While Vision Therapy is not inexpensive, it can be seen as an investment in yourself or your child’s future.

If you find yourself stuck between much needed care and the potential cost, these creative suggestions to cover out of pocket expenses are for you.

Vision Therapy costs estimate around $2,000 – $6,000 for all evaluations, therapy, progress examinations, and follow-up post-therapy visits. 

1.Finance through Advance Credit

Advance Care is a known, reputable company that can help you finance Vision Therapy costs and offers up to 14-month no interest financing plans. Nebraska Visual Integration Center has developed a relationship with Advance Care allowing families the financing to ensure appropriate care is option for them. Advance Care provides you with a line of credit with no interest that you can use for Vision Therapy treatment. Many families take advantage of the benefits of Advance Care for orthodontics (braces) as insurance often deems braces as an elective procedure similar to Vision Therapy. 

Affordable monthly payment plans allow additional time to pay and often put costs below $300 a month.

2. Use your Flex Spending or Health-Savings Account

This is another very popular approach. Vision Therapy at Nebraska Visual Integration Center fully qualifies as an approved use of Flex Spending or Health-Savings Account. Based on your tax bracket, this is a way to save significantly on your costs by spending the money on a pre-tax basis.

3. Reach out to churches, friends and family

Patients often reach out to their community for help. You’ll be surprised how receptive people will be when they understand the need.  Don’t be afraid to reach out.

4. Appeal to your employer

Try contacting your employer and ask them to make an exception for your child’s vision care in your insurance plan.  If they understand the importance and value of the therapy, they may be willing to make an exception and provide coverage.


Our goal is to ensure every patient who requires Vision Therapy is able to find to way to begin receiving the needed care.

Please contact our Omaha Vision Therapy office (402) 502-0043 or email: [email protected] with any questions and we’d love to help.

Primitive Motor Reflexes and their Role in Vision Development

Most people are familiar with retained motor reflexes, they just may not know it. They can be witnessed when: a baby’s head is turned to one side and the arm and leg on that side turn out and the baby assumes a ‘fencer’ pose; or if a baby, when startled by a loud sound, extends his head back and spreads arms out; or if you touch a baby’s palm, a reflexive gripping of your finger will occur.

Doctors often assess the development of a child based on the progression and integration of these reflexes.

Primitive reflexes are involuntary movement patterns directed by the brainstem, meaning they are not under conscious control. They emerge in-utero and during the early months of life play an essential role in infant survival and development.

These reflexes have a limited life span and lay the foundation for more precise movement. For ideal development, they should become integrated during the first year of life to allow for more complex movement patterns controlled by higher levels of the brain.

What if these Reflexes are retained (stay around too long) or re-emerge after a brain injury?

The persistence of these reflexes can indicate poor neurological development and immaturity within the nervous system. They can interfere and prevent the development of succeeding postural reflexes.

Postural reflexes are necessary to support control of balance, posture and movement. Because eye movements are often considered the most precise and neurologically demanding motor skills initiated by the brain, when earlier movement patterns do not develop appropriately, visual skills tend to be poorly controlled and integrated.

The brain possesses a finite amount of energy, and when we are required to compensate for retained reflexes, this takes a toll on the brain and nervous system, and limits the amount of remaining energy available for other necessary cognitive action.

One of the possible underlying causes of academic and/or visual problems may be the retention or inadequate integration of one or more of the primitive reflexes.

Why Test for Retained Primitive Reflexes during a Vision Evaluation?

Integrating primitive reflexes can help patients progress faster during their Vision Therapy program because the visual skills are built on a more secure neurologic foundation. If the brain has better control over the large movements of the body, this frees up mental resources that can be dedicated for learning and thinking, much of which depends on visual skills and visual information processing. Depending on the individual, Dr. Gates works closely with occupational therapists providing collaborative care.

Below you’ll find a brief overview of symptoms of retained primitive reflexes:

Moro Reflex:

poor eye movement control; visual-perceptual problems; difficulty ignoring irrelevant visual material; difficulty with black print on white paper; motion sickness; poor balance and coordination (commonly during ball games); physical timidity; dislike of change/surprises; poor auditory discrimination; hyperactivity; mood swings; tense muscle tone

Asymmetrical Tonic Neck Reflex:

poor balance with head movement to either side; poor smooth tracking eye movements (especially when crossing the midline); mixed laterality (uses right/left hands interchangeably); poor handwriting; difficulty shifting focus from near to far; difficulty keeping place when copying from the board; difficulty catching and throwing a ball; hard to tell right from left

Symmetrical Tonic Neck Reflex

poor eye-hand coordination; difficulty adjusting binocular vision from distance to near; poor posture; tendency to slump when when sitting (especially at desk/table); ‘W’ position when sitting on the floor; poor depth perception; poor balance

Spinal Galant Reflex

bedwetting; fidgety and wiggly (especially when seated); poor short-term memory; poor concentration; hip rotation to one side when walking; ADHD characteristics

Tonic Labyrinthine Reflex

eye movement, visual-perceptual, spatial awareness problems; poor posture; toe walking; vestibular related problems —poor balance, car/motion sickness; dislike of sporting activities, running; poor sequencing skills; poor sense of time

Nebraska Visual Integration Center is one of the only vision clinics in the region to combine Vision Therapy with primitive reflex integration to treat the whole person.

After all, vision is a brain-based process and requires interaction with many other neurological systems to be efficient. It only makes sense to treat the entire brain as there is no way to isolate vision from other brain-based actions.