{"id":55651,"date":"2025-09-22T09:46:58","date_gmt":"2025-09-22T14:46:58","guid":{"rendered":"https:\/\/preventblindness.org\/?page_id=55651"},"modified":"2025-12-08T14:35:53","modified_gmt":"2025-12-08T19:35:53","slug":"aca-and-your-eyes","status":"publish","type":"page","link":"https:\/\/preventblindness.org\/aca-and-your-eyes\/","title":{"rendered":"The Affordable Care Act (ACA) and Your Eyes"},"content":{"rendered":"

[vc_row][vc_column][vc_column_text css=””]Affordable Care Act (ACA)-compliant health plans cover preventive vision care for children, but coverage for adults varies significantly.[\/vc_column_text][\/vc_column][\/vc_row][vc_row content_placement=”top” css=”.vc_custom_1757352643333{margin-top: 25px !important;}”][vc_column width=”2\/3″][vc_cta h2=”Medicine for eyes and vision” css=””]Prescription medication for eye-related medical conditions, such as glaucoma, diabetic retinopathy, and eye infections, are covered under your standard medical insurance plan.[\/vc_cta][vc_cta h2=”Routine exams and eyewear” css=”.vc_custom_1758225681032{margin-top: 25px !important;}”]For routine eye exams, glasses, and contact lenses, adults typically need to purchase a separate vision insurance plan.[\/vc_cta][vc_cta h2=”Standalone vision plans” css=”.vc_custom_1760127355159{margin-top: 25px !important;}”]These supplemental plans cover routine exams and provide an allowance or discount on eyewear for an additional monthly premium.[\/vc_cta][vc_cta h2=”ACA Marketplace” css=”.vc_custom_1758225735460{margin-top: 25px !important;}”]All plans offered through the Health Insurance Marketplace must include pediatric vision coverage. Some plans may include adult vision care, but it is not mandated.[\/vc_cta][vc_cta h2=”Cosmetic or elective eye care” css=”.vc_custom_1758225747038{margin-top: 25px !important;}”]Cosmetic or elective vision services such as Lasik or Botox typically are not covered.[\/vc_cta][\/vc_column][vc_column width=”1\/3″]

\"The<\/div>
\"The<\/div>
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The ACA and Your Child's Eye Care<\/div>
Get the details about ACA coverage for your child's eye exams and glasses...<\/div>
Get the details about ACA coverage for your child's eye exams and glasses...<\/div>
Find Out More<\/div><\/div><\/a><\/div>[vc_column_text css=”.vc_custom_1760448781182{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;}”]<\/p>\n

Where can I find out more?<\/h3>\n

Common questions about vision coverage<\/a><\/strong><\/p>\n

Fact Sheets<\/strong><\/a><\/p>\n

External Resource<\/strong><\/p>\n