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Vision Benefit

Peoples Health plan members have a vision benefit, which includes medical vision care. Most members are also covered for routine vision services; the type of routine vision services that are covered will vary by plan.

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 yearly preventive screenings and eye exams to see if you need eyeglasses or contacts.

Please note: Peoples Health Choices Value (HMO) members are covered for a routine vision exam only; routine eyewear for vision correction is not covered.

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.

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 other provider search and chose Vision (Routine) – Annual Eye Exam and Glasses for Vision Correction from the Service drop-down menu.

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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