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Optometry · google ads

You cannot outbid Specsavers. Stop trying to.

They see more than four million Australians a year, they bulk bill the same exam, and they are a preferred provider for the funds your patients are with. An independent competing head on for eye test near me is buying the most expensive version of the least differentiated thing it sells.

The strategic problem

Free is not a differentiator when everybody is free.

Roughly 94 per cent of Australian optometry services are bulk billed. The national chains bulk bill, the independent down the road bulk bills, and the patient knows it. An advertising strategy built on the word free is competing on a commodity against advertisers with vastly larger budgets and preferred provider relationships with the funds.

The categories where an independent genuinely wins are the ones a fifteen to twenty minute chain appointment cannot deliver: myopia management for children, dry eye, behavioural and paediatric work, and complex contact lens fitting. Those are longer appointments, largely private pay, and they search on the problem rather than on the commodity.

Where to spend

The commodity auction and the one worth entering.

The auction you lose

  • Eye test near me, unqualified. Bulk billed by everybody, dominated by chains.
  • Free eye test. Also a compliance problem, since Ahpra's rule on free names Medicare.
  • Glasses near me. Retail intent against national retail budgets.
  • Optometrist, bare. Expensive, undifferentiated, and mostly brand traffic for somebody else.

The auction you win

  • My child's vision is getting worse. Long appointment, private pay, high commitment.
  • Dry, burning or gritty eyes. A dedicated clinical service most chains do not run properly.
  • Glasses do not work for computer work. A problem, not a product.
  • Optometrist that takes my fund. Fund branded, high intent, comparatively cheap.
The calendar

Four things the December cliff changes.

This is the most predictable demand cycle in Australian healthcare and almost no agency page mentions it.

Start in September, not December
One national optometry buying group moved its member campaigns from November to October and then to September, specifically so practices would not be overrun. By December the decision has been made and the diary is full. The demand you can still capture in December is the demand you built in October.
Push bookings, not premium product
The December surge is a volume effect. The average benefit per optical service is essentially flat across all four quarters, which means patients are not spending more each, there are simply more of them. Advertising that pushes premium lenses in December is solving the wrong problem.
Say book, not claim
The benefit year is set by the date of service, not the date of claim. An exam booked on 28 December that dispenses in January puts the spend in the wrong year. The last useful booking date is well before 31 December and the ad copy should reflect that.
Then buy January cheaply
Fresh limits, renewed benefits, and most competitors dark after their December push. It is also the back to school window, which is a different audience and a different message entirely.
One item number that constrains a whole marketing angle
The children's vision assessment item, for ages three to fourteen, carries an explicit exclusion: it is not to be used for the assessment of learning difficulties or learning disabilities. Behavioural optometry marketing frequently leads on vision and learning. A landing page that pairs that message with an implied Medicare rebate is creating a billing problem for the practice, not just a marketing one. The clinical service is legitimate. The rebate implication is what needs removing.
The myopia line the whole industry uses is not legal here
Myopia control lenses are therapeutic goods, and the TGA permission that lets you advertise them to the public carries conditions. In its own words, the advertisement must not include claims that refer to statistics to describe the performance of the specified goods. That rules out the sector's favourite line, the one quoting a percentage reduction in progression. The same permission requires two statements displayed prominently: that your eye care professional must decide if the goods are appropriate for you, and, where the product is intended for a particular age range, that age range. Myopia management is still the right thing to advertise. It simply cannot be advertised with the number everybody wants to use.
Substantiation

Vision therapy: what the evidence supports, and what it does not.

Defensible to advertise

  • Improvement in convergence and binocular vision. The CITT-ART randomised trial found office based vergence and accommodative therapy significantly better than placebo on near point of convergence and positive fusional vergence.
  • Symptom relief for diagnosed symptomatic convergence insufficiency in children aged nine to fourteen, which is the population that trial actually studied.
  • The assessment itself, described plainly, with the fee stated up front, because there is no Medicare item for vision therapy and the funds do not cover it either.

Not substantiated, do not claim

  • Improved reading. The same trial concluded that therapy was no more effective than placebo for improving reading performance on standardised reading tests after sixteen weeks.
  • Better school or academic performance. A joint statement of four colleges including the American Academy of Ophthalmology and the American Academy of Pediatrics, reaffirmed in 2014, holds that scientific evidence does not support the efficacy of behavioural vision therapy for improving long term educational performance.
  • Treatment for dyslexia or a learning disability. That same statement is explicit that vision problems are not the cause of primary dyslexia or learning disabilities.
Straight answers

Questions clinic owners actually ask

Can a practice advertise vision therapy for reading or learning problems?
Advertise the binocular vision outcome, not the reading outcome. Ahpra requires advertising claims to be substantiated by acceptable evidence, and the evidence here splits cleanly. The CITT-ART randomised trial found office based vergence and accommodative therapy significantly better than placebo for convergence measures, so that claim stands up. The same trial found it no more effective than placebo for improving reading performance on standardised tests, and a joint statement of four colleges reaffirmed in 2014 holds that scientific evidence does not support behavioural vision therapy for improving long term educational performance. There is also no Medicare item for vision therapy, so any implied rebate is a second problem on top of the first. The service is legitimate. Vision and learning as an advertised promise is what creates the risk.
Can I advertise how much a myopia control lens slows progression?
No, not to the public in Australia. Myopia control lenses are regulated therapeutic goods, and the TGA permission that allows them to be advertised to consumers states that the advertisement must not include claims that refer to statistics to describe the performance of the goods. A percentage reduction in progression is exactly that kind of claim, which makes the industry's most quoted statistic unusable in a Google ad or on a landing page aimed at parents. The permission also requires two prominent statements: that an eye care professional must decide whether the product is appropriate, and the age range the product is intended for. Advertise the programme, the consultation and what it means for the child, not the percentage.
Can an optometrist advertise a free eye test?
With the conditions attached, not as a bare claim. Ahpra's guidelines state that where the cost of a free offer is recouped through a price rise elsewhere or through other sources such as Medicare, the offer is not actually free, and they treat omitting restrictions such as eligibility as a potential breach. A bulk billed eye test is recouped through Medicare and cross subsidised by eyewear margin, which is precisely the described pattern. Bulk billed for eligible Medicare card holders, with the interval conditions accessible, is the version that works.
How should an independent optometrist compete with Specsavers and OPSM?
Not on the exam, because they bulk bill it too and they see millions of Australians a year. The winnable ground is the clinical work a short appointment cannot deliver: myopia management, dry eye clinics, behavioural and paediatric optometry, and complex contact lens fitting. Two of those carry advertising constraints worth knowing before you write a word of copy, since myopia lens ads cannot quote performance statistics and vision therapy cannot be advertised as improving reading. Those search as problems rather than products, they are largely private pay, and they carry the appointment length an independent can actually offer. There is also a fund angle worth exploring, since patients search for practices that take their specific fund.
When should an optometry practice increase its ad budget?
September and October, ahead of the benefit expiry rush rather than during it. APRA's data shows optical volume rising more than 50 per cent into the December quarter, and one national buying group moved its member campaigns progressively earlier, from November to October to September, to stop practices being overwhelmed in December. There is a second, smaller window in January and February, when limits have reset, competitors have gone quiet and the back to school children's demand appears.
Is it worth bidding on health fund names?
Usually yes, and check your provider status before you do. Patients on funds with preferred provider networks search for practices that take their fund, because the difference is real: one fund's out of network members face a capped benefit on multifocal lenses against a full benefit in network. Those queries are high intent and comparatively uncontested against the head terms. Two cautions. Advertising a fund relationship you do not have is a consumer law problem. And at least one major fund's provider contract restricts bidding on its trade marks and requires those terms as negatives, so read the agreement before building the campaign.
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