Vision and hearing

Vision

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.

Hearing

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.