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Vision Benefit | 2023

All Peoples Health plans offer a vision benefit for medical vision care. All Peoples Health plans also offer a routine vision care benefit that includes coverage for routine eye exams and eyewear for vision correction.

What’s the Difference Between Routine Vision Care and Medical Vision Care?

Closeup image of eyeglasses sitting on an eye exam chart

Routine Vision Care

Routine care includes services and tests to check your eyes and keep them healthy. Examples are eye exams to see if you need eyeglasses or contacts.

Senior man having an eye exam

Medical Vision Care

Medical care includes Medicare-covered exams and services to diagnose and treat diseases and conditions of the eye. Examples are cataract surgery and treatments for eye injuries, as well as an annual glaucoma screening. 

Routine Vision Care Video

Routine Vision Care FAQs

How do I get a prescription?

If you need a routine eye exam or a new prescription for eyeglasses or contacts, you’ll see an optometrist in our provider network. You can find a list of network doctors near you at medicare.myuhcvision.com.

Will I have a copay?

You pay $0 for one routine eye exam (eye refraction) each year. Please refer to your plan’s Evidence of Coverage for additional details.

 

How much will lenses and frames cost?

You are covered for one pair of standard lenses and frames every year:

  • Lenses: “Standard lenses” are covered in full with every pair of glasses. Standard lenses include single vision, lined bifocal, lined trifocal, lenticular, and Tier I (standard) progressive lenses.
  • Frames: Your plan provides an allowance amount* you can use toward your purchase of frames (with standard lenses covered in full) or contact lenses (fitting and evaluation may be an additional cost). Your plan pays up to this amount for covered eyeglasses or contact lenses. You are responsible for any costs after that.

You have the option to upgrade to other progressive lens tiers, add anti-reflective coating or choose high-index lenses for an additional fee.

*Allowance amount varies by plan. See a plan’s Evidence of Coverage for more information on allowance amounts and coverage details.

 

 

How much will contacts cost?

Contact lenses are $0. Your plan provides an allowance amount* you can use toward your purchase of frames (with standard lenses covered in full) or contact lenses (fitting and evaluation may be an additional cost). 

*Allowance amount varies by plan. See a plan’s Evidence of Coverage for more information on allowance amounts and coverage details.

How Do I Find the Right Eye Doctor?

Icon in teal of a pair of eyeglasses

Annual Eye Exam, Eyeglasses or Contacts

To find a doctor for an annual eye exam or to get a prescription for eyeglasses or contacts, use our routine vision providers search.

 

Icon in teal of an abstract eye with eyedrops

Medical Issue or Injury

To find a doctor if you have a medical issue or injury to your eyes, use our online physician search and choose Vision (Medical)/Ophthalmology from the Provider/Service Type drop-down menu.

Questions about vision coverage?

If you need help finding a network vision care provider or have questions, call member services toll-free at 1-800-222-8600, seven days a week, from 8 a.m. to 8 p.m. TTY users may call 711. If you contact us on a weekend or holiday, we will reach out to you within one business day.

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