Coverage is provided through the Children Health Insurance Program. There is no charge for well-child visits under Medicaid. Vision screenings are to be a routine part of well-child checkups with additional screenings, and diagnostics performed if a problem is suspected. Preventative care, such as eye exams for children, can help to decrease problems later in life. Medicaid is a free or low-cost health insurance option for eligible low-income families and individuals.įederal regulations require that vision care and coverage be provided for recipients of Medicaid who are age 21 or younger. NOTE: If you have a Marketplace or employer plan, typically it will cover the medical specialty of ophthalmology, but eyeglasses will only be covered if you have a special vision plan. To access an ophthalmologist, most of the time you will need a referral from your primary care provider, just as if you needed to see a cardiologist, an allergist, or some other specialist. Ophthalmologists perform eye exams, diagnose and treat diseases, perform surgeries and prescribe medication, glasses and contact lenses.Īn ophthalmologist is seen through your physical health Medicaid benefit, and not your Medicaid vision benefit. An ophthalmologist is a medical doctor that specializes in eye and vision care. What if you are concerned about losing vision, eye pain, or other things that may point to a serious eye problem? If you have more serious eye problems, you need an ophthalmologist. Plus, the same holds for the Childrens Health Insurance Plan What About Serious Eye Problems They Are Covered Too
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