Does Medicaid Pay for Glasses?

Does Medicaid pay for glasses? This is the focus of our discussion. As you go through this article, you’ll find ready answers touching on Medicaid coverage for glasses.

Our discussion includes Medicaid coverage for children, adult coverage, and variations across states. Also discussed below are alternative programs that pay for glasses, amongst others.

Like other aspects of healthcare, optical care is crucial and includes a whole range of services such as routine eye examinations, etc.

You’ll need to sit back, relax, and enjoy this informative guide on Medicaid and its coverage for glasses.

  • About Medicaid

As you may already know, Medicaid is a jointly funded program by the federal and state governments.

Its objective is to provide health coverage to millions of Americans, especially those in the low-income bracket. It extends to the elderly, pregnant women, and persons with disabilities.

Children are also covered under Medicaid under the EPSDT benefit. While specific coverage may vary by state, general healthcare coverage under Medicaid includes home health and rehabilitation services.

Other coverage areas include behavioral health, preventive care, doctor visits, and hospitalization services.

Other general healthcare coverage areas under Medicaid include laboratory & diagnostic services and prescription medications. Medicaid also covers visual or optical care, dental care, etc.

These are covered to varying degrees across different states.

Will Medicaid Pay for Glasses?

We stated earlier that vision care is one of the areas covered under Medicaid.

Now, glasses are a vital part of such care. This means that Medicaid does pay for glasses. However, this isn’t true for all states. In other words, Medicaid coverage for glasses will depend on your condition.

While this is true, there are states with no coverage at all and those with limited range.

Examples of conditions with zero Medicaid coverage for glasses are Arizona, Colorado, Delaware, Hawaii, Louisiana, Oregon, Tennessee, Virginia, Washington, Wyoming, and West Virginia.

  • Medicaid Coverage for Glasses Excludes the Following

Medicaid coverage for glasses isn’t available across all states.

Now, states with limitations on the type of services covered under the program still have regulations that exclude services like progressive multifocal, transition lenses, no-line bifocal or trifocals, and oversized lenses.

This can be unclear when applying for Medicaid coverage for glasses for the first time. You’ll need to consult with a Medicaid representative in your state for a more comprehensive understanding or check with your doctor.

By doing this, you get clarifications on what actions to take.

Some States whose Medicaid Programs Pay for Glasses

Regarding Medicaid coverage for glasses, we mentioned earlier that the range would vary by state.

The states of New York, California, Ohio, Massachusetts, and Minnesota have Medicaid programs that pay for glasses. However, this comes with varying conditions.

For example, New York’s Medicaid coverage for glasses comes with an age ceiling. To enjoy this provision, you must be 21 years and below. These glasses come with frames & lenses.

For California, its Medicaid program, widely known as Medi-Cal, is only open to persons (adults & children) who fit a specific category.

For the most part, residency, income, immigration status, or citizen will be used to qualify for access to Medicaid in California. Similar to New York, the state of Massachusetts requires individuals to be below 21 years of age to access Medicaid.

What Other Options or Grants are Available?

We’ve seen that Medicaid does pay for glasses in some states and does so to varying degrees.

With this reality, you might wonder what other options you have to pay for your glasses. Are there other grants or alternative programs that pay for vision care?

Luckily there are several of these. Besides providing glasses, these charities offer a range of vision care services. Services include vision screenings, free eye exams, and treatment.

Let’s identify these grant-rewarding programs for glasses and vision care.

Significant examples include VSP Eyes of Hope, The Knights Templar Eye Foundation, and Sight Savers America.

Similar programs include Essilor Vision Foundation, Vision USA, New Eyes for the Needy, OneSight, and Operation Eyesight Universal. Let’s briefly discuss each of these.

i. VSP Eyes of Hope

It’s a fact that Medicaid may not pay for glasses in some locations due to the program’s scope for a specific state. Based on this reality, you can seek an alternative from charity organizations like the VSP Eyes of Hope.

This charity offers access to no-cost eye care, eyewear, etc.

ii. The Knights Templar Eye Foundation

The Knights Templar Eye Foundation partners with EyeCare America and the American Academy of Ophthalmology to provide eye care services to needy persons, including glasses.

You can visit its site for a detailed understanding of what it does.

iii. Sight Savers America

Sight Savers America is an alternative to Medicaid as it caters to the eye care needs of children.

Not only does it offer extensive sight-saving treatments, but this non-profit also provides glasses and other high-tech vision aids for persons with severe visual impairment.

iv. Essilor Vision Foundation

If you can’t get Medicaid for your glasses, you might want to explore renowned charities like the Essilor Vision Foundation.

This non-profit caters to the visual needs of children. Besides the glass provided, other services include vision screenings and vision exams at zero cost.

v. Vision USA

Vision USA’s vision care services include eye exams, treatment, and provision of glasses where necessary. If you can’t get Medicaid to pay for your glasses, you can take advantage of the services offered at Vision USA.

vi. New Eyes for the Needy

At New Eyes for the Needy, the visual health of children and adults is adequately catered to.

Here, you can apply for free glasses to enjoy better eyesight. This charity offers other eye-related services you may wish to explore.

vii. OneSight

With Medicaid payment for glasses not specific or non-existent, you can seek other alternatives, such as those provided by OneSight.

This charity aims to eliminate uncorrected poor vision through the provision of glasses. OneSight has touched millions of lives, including adults and children. You can also enjoy its services today.

We’ve seen so far that Medicaid does have limited coverage for glasses. Plus, this isn’t applicable across all states. If Medicaid payment for glasses isn’t available in your condition, you can explore alternatives like those listed above.