Private Insurance and Employer Health Benefits for Eye Care

Private or employer-sponsored health plans are likely to include preventive vision care for children, but benefits for adults vary. Often, a separate vision insurance plan is needed to cover basic vision care.

Medicine for eyes and vision

Eye exams for disease evaluation and prescription medication for eye-related medical conditions, such as glaucoma, diabetic retinopathy, and eye infections, are covered under your standard health insurance plan.

Routine eye exams, glasses and contact lenses

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

Standalone vision plans

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

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Cosmetic or elective eye care

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

Steps to Take to Get Eye Care

To learn what eye care services your health insurance plan covers:

  1. Call the number on the back of your insurance card and ask about eye care coverage
  2. Before your appointment, ask your eye doctor’s office how much your visit may cost and what you’ll have to pay

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