Vision Benefits

You may receive a vision screening exam once every twelve months. This includes a brief history, a visual field and glaucoma screening, and refraction for eyeglasses. You can receive prescription eyewear (glasses and/or contact lenses) once every two years at no cost up to a $200 plan benefit limit. Amounts over $200 are the member's responsibility.

You do not need to contact CommunityCare or your PCP before scheduling your routine vision screening; authorization rules may apply. You will be charged your Specialist visit copayment or coinsurance for the screening. Remember to show your ID card at your office visit.

If your vision provider finds a potential medical problem with your eyes, you will need to contact your PCP for further treatment options.

Please call our Customer Service Department at 1-800-642-8065 to locate a vision provider. Customer Service Representatives will be available Monday through Friday from 8:00 am to 8:00 pm, CST. From October 1, 2018 through March 31, 2019, Customer Service hours will include Saturdays, Sundays and some Holidays. TTY/TDD users should call 1-800-722-0353.