Medi-Cal Benefits: Vision
Vision benefits are covered for those with full-scope Medi-Cal benefits. For information about Medi-Cal eligibility, individuals can contact their county human services agency. Vision benefits are described below.
Routine Eye Exam Once Every 24 Months
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All Medi-Cal members are eligible for a routine eye exam, which checks the health of the eyes and tests for an eyeglass prescription.
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Only members under 21 years old and residents of a nursing home receive coverage for eyeglasses (frames and lenses).
Other Services
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Contact lens testing may be covered if the use of eyeglasses is not possible due to eye disease or condition.
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Low-vision testing is available for those with vision impairment that is not correctable by standard glasses, contact lenses, medicine or surgery and that interferes with a person’s ability to perform everyday activities (e.g., age-related macular degeneration).
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Artificial-eye services and materials are available for those individuals who have lost an eye or eyes to disease or injury.
Finding a Vision Provider
Contact your plan directly for assistance (for example, LA Care, Kaiser Permanente or Health Net, or the common managed care-partnered vision plans like Vision Service Plan).
You may contact an in-network Medi-Cal provider to make an appointment, usually without needing a referral.
For other vision program questions, please contact Vision Services Branch at vision@dhcs.ca.gov.
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