The Affordable Care Act (ACA) and Your Eyes

Affordable Care Act (ACA)-compliant health plans cover preventive vision care for children, but coverage for adults varies significantly.

Medicine for eyes and vision

Prescription medication for eye-related medical conditions, such as glaucoma, diabetic retinopathy, and eye infections, are covered under your standard medical insurance plan.

Routine exams and eyewear

For routine eye exams, glasses, and contact lenses, adults typically need to purchase a separate vision insurance plan.

Standalone vision plans

These supplemental plans cover routine exams and provide an allowance or discount on eyewear for an additional monthly premium.

ACA Marketplace

All plans offered through the Health Insurance Marketplace must include pediatric vision coverage. Some plans may include adult vision care, but it is not mandated.

Cosmetic or elective eye care

Cosmetic or elective vision services such as Lasik or Botox typically are not covered.

More about how eye care is covered by each type of insurance.