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Pediatric Vision

​Molina provides pediatric vision services to members under the age of 19.

Pediatric Vision Services
Vision Exams:
  • Routine vision screening and eye exam
  • Limited to once every calendar year
Prescription glasses:
  • Limited to one pair of prescription glasses once every 12 months. Eyeglass lenses are available in glass, plastic, or polycarbonate. Single vision, conventional bifocal, conventional trifocal, and lenticular lenses in all lens powers are offered.
Contact Lens Exam (Fitting and Evaluation):
  • Standard and Premium fits are covered in full
Contact Lens Materials:
  • Prescription contact lenses covered with a minimum three-month supply for any of the following modalities:
    • Standard (one pair annually)
    • Monthly (six-month supply)
    • Bi-weekly (three-month supply)
    • Dailies (three-month supply)​
  • Contact lenses are in lieu of frame and lenses​​
  • Members can choose from any available prescription contact lens material

 
Necessary Contact Lenses
  • Covered in full for members who have specific conditions for which contact lenses provide better visual correction, in lieu of prescription lenses and frames, for the treatment of: 
    • Aniridia 
    • Aniseikonia 
    • Anisometropia 
    • Aphakia 
    • Corneal disorders 
    • Irregular astigmatism 
    • Keratoconus 
    • Pathological myopia 
    • Post-traumatic disorders
Please refer to the Evidence of Coverage for coverage of special contact lenses for Aniridia and Aphakia.​
Low Vision Optical Devices and Services
Subject to limitations and Prior Authorization applies
Laser Corrective Surgery
Laser corrective surgery is not covered.

 

Please see your EOC or our plans grid to find out how much you will pay.

Please click here to find optometrists that can provide covered eye care services.

Please click here to see the pediatric eye glass frame collection under your coverage.​​​​

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