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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 each calendar year)
Prescription Glasses
Frames​ Limited to one pair of frames every 12 months​
Lenses​

Limited to one pair of prescription lenses 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, as Medically Necessary for specified medical conditions.
Low Vision Optical Devices and Services Corrective Surgery (subject to limitations and Prior Authorization applies)
Laser Corrective Surgery
Laser corrective surgery is not covered.

 

Associated member cost share will vary among each plan type. Please reference your Agreement or our plans grid for the costs you are responsible to 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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