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Is eye glasses covered by insurance?
Generally, the only eye care covered by regular health insurance is due to illness, injury, or other major medical problem that involves the eyes. Health insurance does not cover eye exams, glasses, or related expenses.
How do I get an eye exam with Medi-Cal?
Contact a Medi-Cal provider directly for an appointment. For a list of vision providers, visit the online directory at the Find a Vision Care Provider page on the California Department of Health Care Services (DHCS) website.
Does insurance cover a pair of glasses?
Vision insurance can make eye care more affordable. It typically covers eye exams, as well as products to correct vision, such as prescription glasses, sunglasses and contact lenses. Some vision insurance plans also offer discounts on LASIK and other elective vision correction surgery.
What kind of insurance do you need for glasses?
Vision insurance typically includes coverage for annual exams, lenses, frames, and contacts.
How does insurance work with eyeglasses?
Vision insurance gives you defined costs for your vision care. Most plans will give you a flat copay for an exam, typically about $10. You'll also have an allowance to spend on frames and a flat copay for lenses. The lens copay amount will vary depending on the type of lens you need (bifocal, trifocal, coatings, etc.).
Does Medi-Cal pay for eye exams?
The program offers covered optometric services benefits including comprehensive eye examinations, low vision evaluations, and artificial eye services to eligible beneficiaries of all ages.
Does Medi-Cal pay for glasses for adults?
All Medi-Cal members are eligible for a routine eye exam, which checks the health of the eyes and tests for an eyeglass prescription. Only members under 21 years old and residents of a nursing home receive coverage for eyeglasses (frames and lenses).
Does Medi-Cal pay for contact lenses?
Eyeglasses that meet Medi-Cal requirements in the CCR, Title 22, Section 51317, are covered for concurrent use with medically necessary contact lenses. Prescription eyeglasses for use when not wearing medically necessary contact lenses (other than bandage lenses) are not a Medi-Cal benefit.