Medicaid Vision Insurance in Georgia
Finding out about Medicaid vision insurance in Georgia is often important to those who are seeking benefits or have recently been accepted into the program. Georgia Medicaid vision care can cover certain treatments and screenings to those who qualify. However, Georgia Medicaid vision benefits are not available to all of those who live in Georgia or to all of those who are eligible for Medicaid enrollment. If you wish to enroll in GA Medicaid vision insurance and want to know more about the Medicaid vision insurance eligibility requirements, then read the outlined information provided in the following sections.
Who is eligible for Medicaid vision insurance in Georgia?
Georgia Medicaid insurance is a state and federally funded program that helps those who meet certain qualifications receive low or no cost health care. However, not all participants are eligible for Medicaid vision benefits even if they meet the general requirements to enroll in the program. Georgia Medicaid vision care is available for children younger than 21 years of age. Elderly enrollees who reside in nursing facilities have limited eyeglass coverage, but generally adults 21 years of age and older will not be able to utilize the vision services available to minors. Petitioners with an ocular disease may be able to receive diagnostic, treatment and therapy services with prior approval.
Find out more about covered services available through Medicaid enrollment by reviewing the comprehensive information in our free guide.
What is covered by Medicaid vision insurance?
Since Medicaid vision insurance in Georgia will only cover children of a certain age, those older than the age limit will need to pay for vision care, unless they receive prior approval. However, those enrolled in Medicaid vision insurance will be able to get vision care including screenings, eyeglasses and other medically necessary services. Participants will need to be aware of which vision care services are limited annually.
As part of the well-child checkup, children enrolled in Medicaid receive vision screenings annually. It will take a look at many aspects of the child’s health to prevent and treat any disorders that the child may be experiencing. The child’s doctor will be on the lookout for common childhood eye problems such as nearsightedness. The doctor will also alert the child’s parents or guardians about any nonvisual illnesses or disorders the child might have.
Medicaid vision benefits will likely cover the treatment of the visual problem including covering the cost of eye glasses. The selection of glasses are limited and participants will need to select a pair from a specific set. It is important to note that there may be a limit on how many types of visual services a Medicaid-enrolled child can receive in a year. In most cases, a child will not be able to get more than one vision exam and one pair of corrective lenses in a set period. If children need a second pair of glasses or replacement glasses or contact lenses, then prior approval will be needed. Children enrolled in Medicaid vision benefits through a Care Management Organization or PeachCare for Kids may have additional limits. For instance, contact lenses and certain lenses for glasses will need prior approval.
How to Apply For Medicaid Vision Insurance in Georgia
If you would like to enroll in GA Medicaid Vision insurance, then you will have to follow the standard procedure for applying for Medicaid. As mentioned above, Georgia vision benefits are only available to those younger than 21 years of age. After a child’s application has been submitted and accepted, he or she will have access to vision coverage without having to apply for vision insurance separately.
Georgia Medicaid vision care can be applied for online through either a portal provided by the Georgia government or the federal government. Applicants may also report to their local Georgia Department of Family and Children Services (DFCS) office to fill out and submit an application onsite. A DFCS employee will mail an application to the applicant if requested, and he or she can return it by mail or in person. Everyone who applies for Georgia Medicaid insurance will get a letter in the mail informing them of acceptance or rejection into the program.
Learn more about applying for Medicaid insurance by downloading our comprehensive guide.
Vision Insurance Provided by Children’s Health Insurance Program in Georgia
If a household has been denied coverage by Medicaid vision insurance, then it may still be possible for children of the household to receive coverage from the Children’s Health Insurance Program (CHIP). This program helps children younger than 19 years of age have access to affordable health care if their families earn too much to be eligible for Medicaid but still cannot afford health coverage. Georgia CHIP vision benefits allow beneficiaries to receive the same types of vision services as those on Medicaid. However, CHIP usually requires the child’s family to pay a small premium and for a portion of certain health care expenses. While this program may not cover as much as Georgia Medicaid vision care, it is a good option for those who need vision and medical coverage but cannot receive Medicaid benefits due to income levels.