Missouri Medicaid offers eye care benefits to eligible low-income adults. Coverage includes an annual eye exam, eyeglasses or contact lenses, and medically necessary treatment for eye diseases. To qualify for Medicaid eye care coverage, individuals must be Missouri residents, income-eligible, and meet certain other criteria. Income limits vary depending on household size and assets. Individuals can apply for Medicaid coverage online, by phone, or in person at their local Medicaid office.
Medicaid Eligibility Criteria for Adults in Missouri
To qualify for Medicaid in Missouri as an adult, you must meet specific eligibility criteria. These criteria include:
- Income: Your income must be at or below a certain level. The income limit varies depending on your household size and composition.
- Assets: Your assets must also be below a certain limit. The asset limit varies depending on your household size and composition.
- Citizenship: You must be a U.S. citizen or a qualified non-citizen.
- Residency: You must be a resident of Missouri.
- Age: You must be 19 years of age or older.
- Disability: You may also qualify for Medicaid if you are disabled, regardless of your income or assets.
- Be enrolled in Medicaid.
- Have a valid prescription for glasses from a qualified eye care provider.
- Have a vision exam within the past 12 months.
- Meet the income and asset limits for Medicaid eligibility.
- Apply online at the Missouri Department of Social Services website.
- Call the Missouri Medicaid hotline at 1-800-392-2121.
- Visit your local Department of Social Services office.
- Doctor’s visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Long-term care
- Dental services
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Personal care assistance
- Eye exams
- Glasses or contact lenses
- Low vision aids
- Treatment for eye diseases
- Be a Missouri resident
- Be a U.S. citizen or a qualified non-citizen
- Be aged 19 or older
- Have income and resources below certain limits
- Apply online at the Missouri Medicaid website
- Apply by mail by printing and completing the Medicaid application form
- Apply in person at your local Medicaid office
- The Vision Care for Children program provides free eye exams and eyeglasses to children under the age of 19 who meet certain income limits.
- The Lions Clubs International provides free or low-cost eyeglasses to people of all ages who meet certain income limits.
- The Salvation Army provides free or low-cost eyeglasses to people who are experiencing financial hardship.
- Be a Missouri resident
- Be a U.S. citizen or qualified non-citizen
- Meet income and resource limits
- Be enrolled in a Medicaid managed care plan
- Single-vision eyeglasses
- Bifocal eyeglasses
- Trifocal eyeglasses
- Progressive addition eyeglasses
- Contact lenses
- Eyeglass frames
- Eyeglass lenses
In addition to these general eligibility criteria, there are also specific eligibility criteria for certain groups of adults. For example, pregnant women and children are eligible for Medicaid regardless of their income or assets. Adults with disabilities may also be eligible for Medicaid, even if their income or assets exceed the general limits.
Medicaid Coverage for Glasses for Adults in Missouri
Medicaid in Missouri covers glasses for adults who meet certain eligibility criteria. To be eligible for coverage, you must:
If you meet these criteria, you can get glasses from a participating Medicaid provider. You will need to pay a copayment for your glasses, but the amount of the copayment will vary depending on your income.
How to Apply for Medicaid in Missouri
To apply for Medicaid in Missouri, you can:
When you apply for Medicaid, you will need to provide documentation of your income, assets, and citizenship. You will also need to provide a valid prescription for glasses if you are applying for coverage for glasses.
Once your application is processed, you will be notified of your eligibility status. If you are approved for Medicaid, you will receive a Medicaid card. You can use your Medicaid card to get glasses from a participating Medicaid provider.
Additional Information
For more information about Medicaid coverage for glasses for adults in Missouri, you can visit the Missouri Department of Social Services website or call the Missouri Medicaid hotline at 1-800-392-2121.
| Category | Income Limit | Asset Limit |
|---|---|---|
| Individual | $1,482 per month | $2,000 |
| Couple | $2,057 per month | $3,000 |
| Family of Three | $2,632 per month | $4,000 |
| Family of Four | $3,207 per month | $5,000 |
Missouri Medicaid Covered Services for Adults
Medicaid is a health insurance program that provides coverage for low-income individuals and families. In Missouri, Medicaid is administered by the Missouri Department of Social Services (DSS). Medicaid covers a wide range of health care services for adults, including:
The specific services that are covered by Medicaid vary depending on the individual’s eligibility category. For example, some services may only be covered for pregnant women or children. To find out what services are covered for a particular individual, it is best to contact the Missouri Department of Social Services.
Vision Care Services
Medicaid covers a variety of vision care services for adults, including:
To receive vision care services through Medicaid, adults must be enrolled in a Medicaid managed care plan. Managed care plans are health insurance plans that are contracted with the state to provide Medicaid services. Adults can choose from a variety of managed care plans, and they can switch plans at any time.
The following table shows the vision care services that are covered by Medicaid in Missouri. The table includes the type of service, the frequency of coverage, and the copayment amount.
| Type of Service | Frequency of Coverage | Copayment Amount |
|---|---|---|
| Eye exam | Every 12 months | $5.00 |
| Glasses or contact lenses | Every 24 months | $5.00 |
| Low vision aids | As needed | $5.00 |
| Treatment for eye diseases | As needed | $5.00 |
Missouri Medicaid Coverage for Eyeglasses for Adults
Adults in Missouri may be eligible for Medicaid coverage of eyeglasses if they meet certain income and resource limits. Medicaid is a state and federal health insurance program that provides health care coverage to low-income individuals and families.
To be eligible for Medicaid coverage of eyeglasses in Missouri, you must meet the following criteria:
The income and resource limits for Medicaid eligibility vary depending on your situation. For example, if you are pregnant or have a disability, you may be eligible for Medicaid coverage even if your income is higher than the standard limit.
How to Apply for Medicaid Coverage in Missouri
To apply for Medicaid coverage in Missouri, you can:
You will need to provide proof of your identity and income when you apply for Medicaid. You may also need to provide proof of your resources, such as your bank statements and property deeds.
Once you have applied for Medicaid, you will be assigned a caseworker who will review your application and determine if you are eligible for coverage. The process of applying for Medicaid can take several weeks or even months, so it is important to apply as soon as possible.
If you are approved for Medicaid, you will receive a Medicaid card that you can use to get free or low-cost eyeglasses from participating providers.
Additional Information
In addition to Medicaid, there are other programs that may be able to help you get free or low-cost eyeglasses.
These programs include:
If you need help finding a program that can help you get free or low-cost eyeglasses, you can contact your local health department or social services agency.
Table: Missouri Medicaid Eligibility Criteria for Eyeglasses
| Age | Income Limit | Resource Limit |
|---|---|---|
| 19-64 | $2,474/month for an individual | $3,000 for an individual |
| $5,061/month for a family of four | $6,000 for a family of four | |
| 65 or older | $2,760/month for an individual | $3,500 for an individual |
| $5,655/month for a family of four | $7,500 for a family of four |
Missouri Medicaid Coverage for Glasses for Adults
Missouri Medicaid provides comprehensive health coverage to low-income individuals and families, including adults. This coverage includes a range of benefits, including eye care and vision services. In general, Missouri Medicaid covers eyeglasses for adults who meet certain eligibility requirements.
Eligibility Requirements
To be eligible for Missouri Medicaid coverage of eyeglasses, adults must meet the following requirements:
Benefits Covered
Missouri Medicaid covers eyeglasses for adults who meet the eligibility requirements. The eyeglasses are covered if they are medically necessary or if the person needs them to perform essential activities of daily living. The eyeglasses are covered if they are the least expensive type of corrective lenses that will meet the person’s needs.
The following types of eyeglasses are covered by Missouri Medicaid:
Prior Authorization
Prior authorization is required for certain types of eyeglasses, such as contact lenses and progressive addition eyeglasses. Prior authorization means that the person must get approval from Medicaid before they can get the eyeglasses.
Where to Get Covered Eyeglasses
Adults who are eligible for Missouri Medicaid coverage of eyeglasses can get them from any provider that accepts Medicaid. This includes eye doctors, optometrists, and ophthalmologists. The person can also get eyeglasses from a retail store that sells eyeglasses, such as Walmart or Target.
Contact Information
For more information about Missouri Medicaid coverage of eyeglasses for adults, you can contact the Missouri Medicaid office at 1-800-392-9901.
| Service | Covered | Prior Authorization Required |
|---|---|---|
| Single-vision eyeglasses | Yes | No |
| Bifocal eyeglasses | Yes | No |
| Trifocal eyeglasses | Yes | No |
| Progressive addition eyeglasses | Yes | Yes |
| Contact lenses | Yes | Yes |
| Eyeglass frames | Yes | No |
| Eyeglass lenses | Yes | No |
Hey there, folks! I hope this article was helpful in answering your questions about Medicaid coverage for glasses for adults in Missouri. If you’re still curious about anything, feel free to drop me a line in the comments section below. I’ll do my best to get back to you as soon as possible.
In the meantime, be sure to check out some of my other articles on Medicaid and other healthcare topics. I’m always adding new content, so there’s sure to be something that piques your interest.
Thanks for reading, and I hope to see you back here again soon!