Regular eye exams are important. All AmeriHealth Caritas members are eligible for routine eye care.*
What eye doctor do I go to?
If you need help finding an eye doctor, go to the provider directory and click on Find a Vision Provider. Then call Member Services to make the request. If you need specialty eye care (for example, treatment of accidental injury), you must go to your primary care provider (PCP) first. Your PCP will refer you to a specialist.
What are my eye care benefits?
Members are eligible for 2 routine eye examinations every calendar year, or more often if medically necessary.* No referral is needed for routine eye exams. Members under 21 are entitled to 2 pairs of prescription eyeglasses, every 12 months, or more often if medically necessary. Members may choose prescription contact lenses instead of glasses.
Members over 21 are eligible for prescription eyeglasses once every 12 months, or eligible to choose prescription contact lenses instead of glasses.
There are special provisions for members with aphakia or cataracts. Call Member Services at 1-888-991-7200 for more information.
*There may be co-pays for some eye care services. Please see the member co-payment schedule (PDF) for more information.