chat

chat

Does Medicaid Cover Eye Exams?

man user

Blog

man user

EyeQue Team

man user

June 26, 2019

Doctor examining the eyes of a little girl.

If you are enrolled in Medicaid, you may be able to find an eye doctor near that accepts Medicaid. The federal government offers advice to states about the types of coverage they should offer, but each state Medicaid office has control over the benefits it will offer.

Children Covered by Medicaid

If your children are enrolled in the Medicaid program, they should receive vision screenings each time they go see their primary care physician for a check-up. If the primary care physician believes the child may have a vision issue, your child should receive additional coverage to address the problem. Your state will have the resources you need to find an eye doctor near that accepts Medicaid that can help treat your child.

States That May Offer Coverage of Eye Exams for Adults

Click the name of your state below to learn more about their coverage of adult eye exams and to find an eye doctor near that accepts Medicaid. States listed with an asterisk (*) may also provide eyeglasses and/or contact lenses for qualifying patients.

  • Alabama* (one complete eye exam; one pair of eyeglasses every three years)
  • Alaska* (one vision exam; one pair of glasses per year)
  • Arizona* (covered exam when referred by a PCP; eyeglasses for children)
  • Arkansas* (requires co-pay for exam and adult eyeglasses)
  • California* (once per 24 months; eyeglasses for children and those living in a nursing home)
  • Colorado* (annual eye exams; eyeglasses for children, and eyeglasses for adults after surgery)
  • Connecticut* (exams for certain ages; limited eyeglasses coverage)
  • Delaware*
  • District of Columbia* (co-pay required for exam and eyeglasses)
  • Florida* (exams and eyeglasses when deemed necessary)
  • Georgia(exams covered if considered preventative)
  • Hawaii* (depends on plan)
  • Idaho*
  • Illinois*
  • Indiana* (eyeglasses covered depending on the plan)
  • Iowa*
  • Kansas*
  • Kentucky*
  • Louisiana* (eyeglasses covered for children who need a minimum amount of correction)
  • Maine* (coverage of exams and eyeglasses limited for adults)
  • Maryland* (exams every two years for adults; eyeglasses covered for children)
  • Massachusetts*
  • Michigan*
  • Minnesota*
  • Mississippi*
  • Missouri*
  • Montana* (exams every 24 months for adults; eyeglasses every year for children and every two years for adults)
  • Nebraska* (exams every 24 months for adults; eyeglasses covered when necessary for children and every two years for adults)
  • Nevada* (eyeglasses covered every 12 months)
  • New Hampshire* (exams every 12 months for adults)
  • New Jersey* (eyeglasses covered with certain plans)
  • New Mexico
  • New York(adult exams only through managed care program)
  • North Carolina*
  • North Dakota*
  • Ohio* (exams every 24 months for adults; eyeglasses every 12 months for children and every 24 months for adults)
  • Oklahoma* (no exams or eyeglasses covered for adults, but eyeglasses are covered for children)
  • Oregon* (eyeglasses covered for pregnant women and other adults with certain vision conditions)
  • Pennsylvania
  • Rhode Island* (one pair of eyeglasses covered)
  • South Carolina* (exams every 12 months for adults; eyeglasses covered for children every 12 months and for adults after cataract surgery)
  • South Dakota* (exams every 12 months for adults)
  • Tennessee* (depends on plan)
  • Texas* (depends on plan)
  • Utah* (eyeglasses coverage depends on plan)
  • Vermont
  • Virginia*
  • Washington* (eyeglasses coverage depends on plan)
  • West Virginia* (exams covered for adults when deemed necessary; eyeglasses covered for children and for adults after cataract surgery)
  • Wisconsin*
  • Wyoming* (no exams or eyeglasses covered for adults, but eyeglasses are covered for children)

Try EyeQue's VisionCheck

Check your vision and order new glasses online. The PDCheck pupillary distance tool is included. Get it now!

Buy Now
We use cookies to ensure that we give you the best experience on our website. By continuing to use this site you agree to our use of cookies.

Sign Up for the EyeQue Newsletter

Receive 10% off plus exclusive deals and tips.