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Pediatric Vision

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

Pediatric Vision Services
Vision Exam
  • Screening and exam
  • Limited to 1 exam each calendar year
Prescription Glasses
Frames
  • Limited to one pair of frames every 12 months
  • Limited to a selection of covered frames
Lenses
  • Limited to one pair every 12 months
  • Single vision, lined bifocal, lined trifocal, lenticular lenses, polycarbonate lenses
  • All lenses include scratch resistant coating, UV protection
Prescription Contact Lenses
  • Limited to one pair once every 12 months in lieu of prescription glasses
  • Medically Necessary contact lenses for specified medical conditions require Prior Authorization
Low Vision Optical Devices and Services
Subject to limitations and Prior Authorization applies
Laser Corrective Surgery
Laser corrective surgery is not covered.

 

Member costs will vary from plan to plan. Please see your Agreement 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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