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Are Prescription Glasses Covered by Insurance?

August 28th, 2009

Many people wonder if the cost of their prescription glasses is covered by their insurance plan. The answer is that it varies tremendously from plan to plan. Before you pay out of your own pocket for prescription glasses, take a look at your plan to determine whether or not you have vision coverage.little pig

What Most Insurance Plans Cover

Most medical insurance plans cover losses of vision and finances due to eye injury or disease. In other words, if your eye is damaged in a car accident and you require the services of an eye doctor, it will be covered. Most medical insurance plans do not cover typical “wellness” care for your eyes, such as prescription glasses and routine eye exams, unless the plan has a vision insurance policy attached to it.

Adding Vision Insurance

If you are part of a group insurance plan, you may have the option to add vision insurance to your policy. This is usually considered a value-added benefit that is attached to a traditional health insurance structure. Whether you have indemnity health insurance, an HMO, or a PPO, you may have the opportunity to add vision insurance. By adding this coverage, you will be able to access a network of eye care providers and specialists, as well as coverage and discounts on your routine eye care. This usually includes the cost of prescription eyeglasses.

Paying for Vision Insurance

Adding a vision benefits package to your health insurance adds an annual premium amount. You may also have a deductible that you have to meet before the insurance will cover your eye care. Typically, the premium will be an amount up to $144 a year, and the maximum deductible is typically under $40. Each plan is different, so be sure to read the fine print, but you will pay more for this coverage if you pay for your own health insurance. Some companies provide this as part of their overall healthcare benefits, so read your policy to see if you are covered.

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