For the most part, it's...fine. Insurance has no idea what to do with me and that's frustrating, though. Somehow, I have eyes this bad without any associated pathology, and companies don't understand that the needs that such severe myopia presents on its own. I wear custom made RGPs; they can custom make softs but they're horrific (or at least they were 13 years ago when I gave up on them).
Isn't it hilarious every time you go to a new eye doctor? It's actually really cute: I like watching them get all giddy. They get so excited when they can't use the machines (a lot of them will only go up to a -15) and have to measure my RX manually. You can just see how they're like 'oh my God, I learned about this in school!'
Now I usually look for practices that work with keratoconus patients. They usually have practice with strange prescriptions and unusual contact fittings.