Medical Contact Lenses

In many cases, contact lenses can restore good vision in cases where disease has damaged the structures of the eye.

Medically necessary contact lenses are prescribed to treat specific eye conditions or disorders when eyeglasses are not enough. They can help with vision, comfort, and glare.

Conditions that qualify:

  • Keratoconus: An eye disease that causes the cornea to bulge into a cone shape
  • Aphakia: The absence or removal of the eye’s lens
  • Anisometropia: A refractive condition where the eyes have different optical power or focus
  • Dry eye syndrome: A condition that causes dry eyes
  • Corneal scarring: A condition that causes scarring of the cornea
  • High refractive error: A condition where the eye has a very high prescription
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Types of medically necessary contact lenses:

  • Soft contact lenses
  • Hybrid contact lenses
  • Gas permeable contact lenses
  • Scleral contact lenses, which are more like a prosthetic device

Insurance coverage

Most vision plans cover medically necessary contact lenses.  Medical insurance plans typically cover the diagnosis and monitoring of conditions, but not the fitting of contact lenses. 

Types of medically necessary contact lenses:

  • Soft contact lenses
  • Hybrid contact lenses
  • Gas permeable contact lenses
  • Scleral contact lenses, which are more like a prosthetic device

Insurance coverage

Most vision plans cover medically necessary contact lenses.  Medical insurance plans typically cover the diagnosis and monitoring of conditions, but not the fitting of contact lenses. 

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