{"id":55474,"date":"2025-09-22T09:49:35","date_gmt":"2025-09-22T14:49:35","guid":{"rendered":"https:\/\/preventblindness.org\/?page_id=55474"},"modified":"2025-12-08T14:02:58","modified_gmt":"2025-12-08T19:02:58","slug":"private-insurance-employer-benefits-eye-care","status":"publish","type":"page","link":"https:\/\/preventblindness.org\/private-insurance-employer-benefits-eye-care\/","title":{"rendered":"Private Insurance and Employer Health Benefits for Eye Care"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]Private or employer-sponsored health plans are likely to include preventive vision care for children, but benefits for adults vary. Often, a separate vision insurance plan is needed to cover basic vision care.[\/vc_column_text]<div class=\"ult-spacer spacer-6a106a38adb92\" data-id=\"6a106a38adb92\" data-height=\"20\" data-height-mobile=\"20\" data-height-tab=\"20\" data-height-tab-portrait=\"20\" data-height-mobile-landscape=\"20\" style=\"clear:both;display:block;\"><\/div>[vc_column_text css=&#8221;&#8221;]<div class=\"aiovg-player-container\" style=\"max-width: 100%;\"><div class=\"aiovg-player aiovg-player-iframe\" style=\"padding-bottom: 56.25%;\"><iframe src=\"https:\/\/preventblindness.org\/player-embed\/id\/56470\/\" title=\"Understanding Your Eye Care Benefits: Commercial and Private Insurance\" width=\"560\" height=\"315\" frameborder=\"0\" scrolling=\"no\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen loading=\"lazy\"><\/iframe><\/div><\/div><script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"VideoObject\",\"@id\":\"https:\\\/\\\/preventblindness.org#\\\/schema\\\/video\\\/56470\",\"name\":\"Understanding Your Eye Care Benefits: Commercial and Private Insurance\",\"description\":\"Dr. Harris Schild describes vision benefits available through commercial and private insurance. Learn more about how to access your care benefits.\",\"thumbnailUrl\":\"https:\\\/\\\/preventblindness.org\\\/wp-content\\\/uploads\\\/2025\\\/12\\\/693720604ca78-1024x576.jpg\",\"uploadDate\":\"2025-12-08T14:01:25-05:00\",\"embedUrl\":\"https:\\\/\\\/preventblindness.org\\\/player-embed\\\/id\\\/56470\\\/\",\"interactionStatistic\":{\"@type\":\"InteractionCounter\",\"interactionType\":{\"@type\":\"http:\\\/\\\/schema.org\\\/WatchAction\"},\"userInteractionCount\":263}}<\/script>[\/vc_column_text][\/vc_column][\/vc_row][vc_row content_placement=&#8221;top&#8221; css=&#8221;.vc_custom_1757353209609{margin-top: 25px !important;}&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_cta h2=&#8221;Medicine for eyes and vision&#8221; css=&#8221;&#8221;]<span data-olk-copy-source=\"MessageBody\">Eye exams for disease evaluation and p<\/span>rescription medication for eye-related medical conditions, such as glaucoma, diabetic retinopathy, and eye infections, are covered under your standard health insurance plan.[\/vc_cta][vc_cta h2=&#8221;Routine eye exams, glasses and contact lenses&#8221; css=&#8221;.vc_custom_1757003908751{margin-top: 25px !important;}&#8221;]For routine eye exams, eyeglasses, and contact lenses, adults typically need to purchase a separate vision insurance plan.[\/vc_cta][vc_cta h2=&#8221;Standalone vision plans&#8221; css=&#8221;.vc_custom_1757107516839{margin-top: 25px !important;}&#8221;]These separate, supplemental plans cover routine eye exams and provide an allowance or discount on eyewear for an additional monthly premium.[\/vc_cta][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_column_text css=&#8221;.vc_custom_1758555624054{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;border-left-style: solid !important;border-right-style: solid !important;border-top-style: solid !important;border-bottom-style: solid !important;border-radius: 3px !important;border-color: #000000 !important;}&#8221;]<\/p>\n<h3>Where can I find out more?<\/h3>\n<p><strong><a href=\"https:\/\/preventblindness.org\/eye-vision-insurance-benefits-questions\/\">Common questions about vision coverage<\/a><\/strong><\/p>\n<p><a href=\"https:\/\/preventblindness.org\/health-insurance-and-your-eyes\/\"><strong>Fact sheets to download and share<\/strong><\/a>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1760123060170{margin-top: 25px !important;border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;border-left-style: solid !important;border-right-style: solid !important;border-top-style: solid !important;border-bottom-style: solid !important;border-radius: 3px !important;border-color: #000000 !important;}&#8221;]<\/p>\n<h3>Eye Care Access and Advocacy<\/h3>\n<p><a href=\"https:\/\/preventblindness.org\/eye-care-policy-updates\/\"><b>Issues that can impact eye care<\/b><\/a><\/p>\n<p><a href=\"https:\/\/advocacy.preventblindness.org\/advocacy-alerts-sign-up\/\"><b>Sign up for advocacy alerts<\/b><\/a>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1757106706435{margin-top: 25px !important;border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;border-left-style: solid !important;border-right-style: solid !important;border-top-style: solid !important;border-bottom-style: solid !important;border-radius: 3px !important;border-color: #000000 !important;}&#8221;]<\/p>\n<h3>Do you have a story about access to eye care?<\/h3>\n<p><a href=\"https:\/\/tallulah.ai\/form\/f11d7394-445a-4acd-a696-15841ab82a3c\" target=\"_blank\" rel=\"noopener nofollow\"><strong>Share your story!<\/strong><\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_cta h2=&#8221;Cosmetic or elective eye care&#8221; css=&#8221;.vc_custom_1757107529872{margin-top: 25px !important;}&#8221;]Cosmetic or elective vision services such as Lasik or Botox typically are not covered.[\/vc_cta][\/vc_column][\/vc_row][vc_row][vc_column][vc_cta h2=&#8221;Steps to Take to Get Eye Care&#8221; color=&#8221;blue&#8221; css=&#8221;.vc_custom_1760117132762{margin-top: 25px !important;}&#8221;]<strong>To learn what eye care services your health insurance plan covers:<\/strong><\/p>\n<ol>\n<li>Call the number on the back of your insurance card and ask about eye care coverage<\/li>\n<li>Before your appointment, ask your eye doctor\u2019s office how much your visit may cost and what you\u2019ll have to pay<\/li>\n<\/ol>\n<p>[\/vc_cta][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1757107003888{margin-top: 25px !important;margin-bottom: 25px !important;}&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<p style=\"text-align: center;\"><strong>More about how eye care is covered by each type of insurance.<\/strong><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row el_class=&#8221;home&#8221;][vc_column width=&#8221;1\/3&#8243;]<div class=\"cover-item\"><a href=\"https:\/\/preventblindness.org\/aca-and-your-eyes\/\"><div class=\"cover-item-image\"><div class=\"cover-item-image-main\"><img decoding=\"async\" width=\"540\" height=\"360\" src=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/private-insurance-coverage-man-with-glasses-540x360.jpg\" class=\"attachment-main-thumb size-main-thumb\" alt=\"a middle-aged man wearing glasses.\" srcset=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/private-insurance-coverage-man-with-glasses-540x360.jpg 540w, https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/private-insurance-coverage-man-with-glasses-300x200.jpg 300w, https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/private-insurance-coverage-man-with-glasses.jpg 750w\" sizes=\"(max-width: 540px) 100vw, 540px\" \/><\/div><div class=\"cover-item-image-main-wide\"><img decoding=\"async\" width=\"750\" height=\"450\" src=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/private-insurance-coverage-man-with-glasses-750x450.jpg\" class=\"attachment-main-thumb-wide size-main-thumb-wide\" alt=\"a middle-aged man wearing glasses.\" \/><\/div><div class=\"cover-item-image-line-1\"><\/div><div class=\"cover-item-image-line-2\"><\/div><\/div><div class=\"cover-item-content\"><div class=\"cover-item-title\">Affordable Care Act (ACA)<\/div><div class=\"cover-item-excerpt\">What are the common vision benefits available under coverage from an ACA Exchange plan?...<\/div><div class=\"cover-item-excerpt-wide\">What are the common vision benefits available under coverage from an ACA Exchange plan?...<\/div><div class=\"cover-item-link\">Find Out More<\/div><\/div><\/a><\/div>[\/vc_column][vc_column width=&#8221;1\/3&#8243;]<div class=\"cover-item\"><a href=\"https:\/\/preventblindness.org\/medicaid-benefits-for-eye-care\/\"><div class=\"cover-item-image\"><div class=\"cover-item-image-main\"><img decoding=\"async\" width=\"540\" height=\"360\" src=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/mother-and-child-wearing-glasses-540x360.jpg\" class=\"attachment-main-thumb size-main-thumb\" alt=\"a mother and child wearing glasses\" srcset=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/mother-and-child-wearing-glasses-540x360.jpg 540w, https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/mother-and-child-wearing-glasses-300x200.jpg 300w, https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/mother-and-child-wearing-glasses.jpg 750w\" sizes=\"(max-width: 540px) 100vw, 540px\" \/><\/div><div class=\"cover-item-image-main-wide\"><img decoding=\"async\" width=\"750\" height=\"450\" src=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/mother-and-child-wearing-glasses-750x450.jpg\" class=\"attachment-main-thumb-wide size-main-thumb-wide\" alt=\"a mother and child wearing glasses\" \/><\/div><div class=\"cover-item-image-line-1\"><\/div><div class=\"cover-item-image-line-2\"><\/div><\/div><div class=\"cover-item-content\"><div class=\"cover-item-title\">Medicaid\/Public Insurance<\/div><div class=\"cover-item-excerpt\">Medicaid and other public insurance benefits may help pay for eye and vision care....<\/div><div class=\"cover-item-excerpt-wide\">Medicaid and other public insurance benefits may help pay for eye and vision care....<\/div><div class=\"cover-item-link\">Find Out More<\/div><\/div><\/a><\/div>[\/vc_column][vc_column width=&#8221;1\/3&#8243;]<div class=\"cover-item\"><a href=\"https:\/\/preventblindness.org\/medicare-65-and-your-eyes\/\"><div class=\"cover-item-image\"><div class=\"cover-item-image-main\"><img decoding=\"async\" width=\"540\" height=\"360\" src=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/asian-senior-couple-540x360.jpg\" class=\"attachment-main-thumb size-main-thumb\" alt=\"an active senior couple wearing glasses\" srcset=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/asian-senior-couple-540x360.jpg 540w, https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/asian-senior-couple-300x200.jpg 300w, https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/asian-senior-couple.jpg 750w\" sizes=\"(max-width: 540px) 100vw, 540px\" \/><\/div><div class=\"cover-item-image-main-wide\"><img decoding=\"async\" width=\"750\" height=\"450\" src=\"https:\/\/preventblindness.org\/wp-content\/uploads\/2025\/09\/asian-senior-couple-750x450.jpg\" class=\"attachment-main-thumb-wide size-main-thumb-wide\" alt=\"an active senior couple wearing glasses\" \/><\/div><div class=\"cover-item-image-line-1\"><\/div><div class=\"cover-item-image-line-2\"><\/div><\/div><div class=\"cover-item-content\"><div class=\"cover-item-title\">Medicare (65+)<\/div><div class=\"cover-item-excerpt\">For individuals who are 65 and older, Medicare offers a number of important benefits for eye and vision care...<\/div><div class=\"cover-item-excerpt-wide\">For individuals who are 65 and older, Medicare offers a number of important benefits for eye and vision care...<\/div><div class=\"cover-item-link\">Find Out More<\/div><\/div><\/a><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/preventblindness.org\/accessing-vision-care-without-insurance\/\"><strong>I do not have insurance coverage. How do I access eye care?<\/strong><\/a><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]Private or employer-sponsored health plans are likely to include preventive vision care for children, but benefits for adults vary. Often, a separate vision insurance plan is needed to cover<\/p>\n","protected":false},"author":127,"featured_media":55461,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-55474","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/pages\/55474","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/users\/127"}],"replies":[{"embeddable":true,"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/comments?post=55474"}],"version-history":[{"count":27,"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/pages\/55474\/revisions"}],"predecessor-version":[{"id":56472,"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/pages\/55474\/revisions\/56472"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/media\/55461"}],"wp:attachment":[{"href":"https:\/\/preventblindness.org\/wp-json\/wp\/v2\/media?parent=55474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}