Why Do I Have to Pay a Contact Lens Fitting Fee Every Year?

Does this sound familiar? A patient sits in your chair, already a contact lens wearer, and asks:“Doc, I’ve been wearing these for years. Why do I have to pay for a contact lens fitting every single visit?”

If you’ve been in practice for any length of time, you know the contact lens evaluation fee is one of the most common, and misunderstood, questions we get as optometrists. In this post, I’ll share:

• Why contact lenses are worth offering and prescribing to eligible patients every year.

• How to explain the annual contact lens evaluation fee with confidence.

• Ways to get ahead of this conversation and preserve patient trust.

Why Contact Lenses Are Worth Offering to Every Viable Candidate

Before we address the fee, it’s important to remember why contact lenses remain an essential part of optometric care:

1. Clear Vision – Many patients simply see better in contact lenses. They avoid the fogging, reflections, and limitations that glasses can bring.

2. Lifestyle Freedom – From sports to vacations to special events, contacts give patients the flexibility to live life without glasses on their face.

3. Part-Time or Full-Time Options – Some wear them daily, others for specific activities. That flexibility meets different visual and lifestyle needs.

4. Technological Advancements – Materials, coatings, and designs continue to improve. The last decade alone has brought huge strides in comfort, oxygen permeability, and visual performance.

5. Specialty & Myopia Management – Contact lenses play a pivotal role in controlling myopia progression and managing unique corneal conditions.

6. Practice Growth – Contact lens patients return for care more frequently than glasses-only wearers, helping both patient retention and business health.

When we prescribe contact lenses, we’re not just providing a product — we’re providing an ongoing medical service that supports vision and eye health.

Why Annual Contact Lens Evaluations Are Non-Negotiable

Here’s the truth patients often don’t know: Contact lenses are Class II medical devices according to the FDA. That classification comes with responsibility — both for the wearer and the prescribing doctor.

Annual evaluations allow us to:

• Monitor Eye Health – Even long-time wearers can develop complications like inflammation, neovascularization, or corneal ulcers.

• Catch Bad Habits Early – Overwear, improper cleaning, or sleeping in lenses can lead to serious issues if not addressed.

• Optimize Comfort and Vision – Small prescription changes or a switch in material/design can make a big difference in comfort and clarity.

• Introduce New Technology – Patients may not realize better lens options exist until we bring them up.

Skipping an annual check-up is like skipping a dental cleaning because “nothing hurts.” Preventive care is always better than reactive treatment.

Getting Ahead of the Conversation

In my practice, we proactively and transparently communicate professional service fees:

• Before the Visit – When scheduling, whether by phone or online, we review insurance benefits and any applicable fees.

• In Digital Intake Forms – Patients sign off acknowledging their understanding.

• During Pre-Testing – Technicians reinforce the information before the doctor enters the exam room.

This way, there are no surprises, and patients understand the value before they sit down in the chair.

Responding with Empathy and Confidence

When faced with the question, “Why do I have to pay for this every year?” here’s an example of how to respond:

“I understand it can feel frustrating if nothing seems to have changed. But your contact lenses are a medical device, and your eyes can change in ways that aren’t always noticeable right away. These annual checks help ensure you can keep wearing your lenses comfortably and safely for years to come.”

Key points to remember when addressing the concern:

• Be Empathetic – Acknowledge their perspective before educating.

• Educate Clearly – Reinforce that this is about their safety, comfort, and long-term vision.

• Show Confidence – You’re providing a professional service that protects their health — never apologize for that.

Turning Stability into Opportunity

If a patient’s prescription hasn’t changed in years, celebrate it:

• “No news is good news.” Stability means their eye health and vision are in a great place.

• Use the moment to explore new lens technology or modalities (like moving from monthly to daily disposables).

• Reinforce that the annual fee covers the expertise, chair time, and medical evaluation required for continued safe wear.

Final Thoughts on Contact Lens Fitting Fees

Annual contact lens evaluations aren’t just about renewing a prescription, they’re about protecting sight, optimizing comfort, and keeping patients informed about the best options available.

By being transparent, empathetic, and confident, we can answer this common patient question in a way that builds trust, reinforces the value of our care, and strengthens the patient-doctor relationship.

How do you handle this conversation in your practice? Share your thoughts in the comments, I’d love to hear your best practices.