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Vision
Medical and Surgical Vision benefits, and Yearly Exams and Eyeglasses limitations and Copays
Vision

Medical and Surgical Vision Services

Who is eligible? All Medicaid beneficiaries

How often? Based upon medical necessity.

Info: No additional information

Copay:

Optometrist and Ophthalmologist Services

Who is eligible? All Medicaid beneficiaries

How often? One exam and eyeglasses every 12 months (individuals younger than age 21 and older than age 60).  One exam and eyeglasses every 24 months (individuals between the ages of 21 and 59).

Info: Contact lenses covered with prior authorization.  Glaucoma screenings also covered.

Copay: $2 for exam and $1 for eyeglasses (individuals older than age 21 not residing in a nursing facility or an intermediate care facility for individuals with intellectual developmental disabilities).