What makes contact lenses medically necessary

Please check our website, www. Many thanks for your patience and understanding from the entire ReVision Optometry team! December 4, What Classifies Necessary Contact Lenses? Types of Contact Lenses There are two types of necessary contact lens claims: for visual- and medical-necessity. Determining Your Qualification for Necessary Contacts The first step to know your candidacy for necessary contact lenses is to schedule an appointment with your eye doctor. To Our Valued Patients: ReVision Optometry is normally operating by appointment onl y Tuesdays through Fridays, with continued attention to protecting your safety and health.

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However, eyeglasses are considered the professional standard of care, providing an agreeable and cost-effective treatment. The other two options are elective and considered cosmetic. Many vision plans include an elective contact lens benefit in which an individual may choose to correct their vision with contact lenses instead of eyeglasses.

Medically necessary contact lenses are non-elective contact lenses prescribed when certain medical conditions hinder vision correction through regular eyeglasses and contact lenses are the accepted standard of treatment. Cosmetic lenses are elective and are not covered by health insurance.

Medical contact lenses are custom to each patient, are associated with a covered medical diagnosis, and may be covered by your insurance.

One specific type of MNCL is a scleral contact lens. Examples of diagnoses that may qualify for medically necessary contact lenses are keratoconus, aphakia, post-corneal transplant, corneal dystrophies, ametropia, and anisometropia. Most contact lenses worn by individuals are classified as an elective vision correction option by insurance companies.

Insurance companies consider standard contact lenses a cosmetic choice rather than a medical need. However, for some individuals with specific vision conditions, contact lenses are considered a medical necessity.

Medically necessary contact lenses are usually needed for individuals with aphakia, pseudophakia, anisometropia, and keratoconus. Conditions can be the side effect of surgery or can be a genetically related condition.

Each health care plan has different coverage levels and qualifications for medically necessary contact lens coverage.

Many health insurance companies will cover medically necessary contact lenses, even if the policy does not cover standard contact lenses. Medically necessary contact lenses usually offer the wearer greater visual acuity than eyeglasses can provide.

Contact lenses may be used as an alternative to replacing the lens of the eye for some eye conditions and may be needed after some optical surgical procedures like cataract removal.

Individuals who require some sort of vision correction can misunderstand the phrase medically necessary contact lenses. The phrase is only applied to individuals where standard glasses are not a medically accepted alternative to contact lenses. Insurance Information.