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Vision insurance for eye care primarily covers routine eye care services, such as eye exams, glasses, and contact lenses. It is focused on preventive care and typically includes annual eye exams and discounts on eyewear. 

Medical insurance for eye diseases covers eye-related health conditions and treatments. It is used for more complex or medically necessary services, like treatment for eye diseases (e.g., glaucoma, cataracts), surgery, or emergencies, and may cover part of the costs for eye exams related to specific health conditions.