Vision and hearing


Eye care is an important part of your overall health. To make sure your eyes are healthy and help you see the best you can, we cover:

  • Routine eye exams once every two years
  • Nonroutine eye exams for evaluating chronic, acute or sudden abnormal ocular conditions
  • One pair of glasses every year
  • Replacement glasses if your glasses are lost, stolen or broken beyond repair and the number of replacements has not exceeded Medicaid limits:
    • For beneficiaries age 21 and over, one pair of replacement glasses per year
    • For beneficiaries under age 21, two pair of replacement glasses per year

                 Note: One year is defined as 365 days from the date the first pair of glasses (initial or
                 subsequent) was ordered

  • Glaucoma screenings every year
  • Retinal eye exams for members with diabetes. No referral is needed

The services must be from a network vision center. For a list of network eye doctors and vision centers, call Customer Service at 1-800-228-8554. TTY users should call 1-888-987-5832.


How well you hear affects your quality of life. We offer hearing benefits for members of all ages. Here’s what we cover:

  • Hearing aid exams to evaluate what type or brand of hearing aid you need
  • One hearing aid unit (or one per ear if medically necessary). This includes earphone (receiver or oscillator), ear mold, necessary cords, tubing and connections. The hearing aid unit must be a conventional amplification device. It must also be an in-the-ear, behind-the-ear or on-the-body type and identified as basic to your hearing requirements
  • Hearing aid fitting, which includes one follow-up visit to evaluate its performance and to determine its conformance to prescription
  • Batteries, maintenance and repair for hearing aids

Hearing exams and hearing aid evaluations are available from a network provider. Go to Find a Doctor, then search for “hearing aid.” If you have questions about this benefit, contact Customer Service at 1-800-228-8554. TTY users should call 1-888-987-5832.