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Does Colorado Medicaid Pay for Eye Exams?

Feb 1, 2024 | Medicaid Benefits

No one should have to go without proper eye care, but it can be tough to figure out what exactly your healthcare plan covers. If you’re a Medicaid patient living in Colorado, you may be wondering if your insurance covers eye exams and glasses. In this blog, we’ll answer that question and provide you with helpful information about Medicaid coverage for your eye health. 

What does Colorado Medicaid cover? 

In Colorado, Medicaid covers the cost of eye exams and glasses for patients under 21. Medicaid recipients who are 20 years old or younger can get a pair of budget-friendly glasses completely covered by Medicaid. Contact lenses are only covered for patients 20 and younger if eyeglasses can’t provide the necessary vision correction.  

If you’re 21 or older, Medicaid will only cover the cost of your eye exam and not your glasses. Glasses and contact lenses are only covered after eye surgery. Even though Medicaid doesn’t cover glasses for people 21 and older, our office has a variety of eyeglasses in Littleton at different prices, including budget-friendly choices. 

Medical care and eye emergencies

With Medicaid, you’re covered for both regular eye check-ups and urgent eye-related issues. In addition to seeing us for your regular eye exam, you can schedule visits when you have concerns about eye discomfort, eye allergies, redness, or itchiness, and dry eyes. Additionally, Colorado’s Medicaid program covers medical visits related to eye diseases such as glaucoma and macular degeneration. This means you can be proactive about your eye health and seek care when you need it. 

Qualifying for Medicaid in Colorado 

To qualify for Medicaid in Colorado, you and your family must meet certain income requirements. For Health First Colorado (Colorado’s Medicaid Program), adults between the ages of 19 and 65 need to have a monthly income of around $1,616 or lower, and a family of four must have a monthly income of about $3,325 or lower. If you’re eligible, you can choose from a range of eye doctors who accept Medicaid. 

In conclusion, Medicaid covers eye exams and glasses for individuals under the age of twenty-one in Colorado. Even if you’re over twenty-one, you’ll still have coverage for routine eye exams and emergency visits. This means you can get the care you need without breaking the bank.  

If you’re looking for a Medicaid eye doctor in Littleton, Colorado, reach out to the Eye Care Center of Ken Caryl. We accept Colorado Medicaid and provide high-quality, compassionate eye health and vision care to all our patients. Contact us today to learn more about our services and to schedule your next eye exam in Ken Caryl