Routine Eye Exams and Visual Aids are covered for all Medicaid and Health Choice beneficiaries, regardless of age. Select Vision Care Services include visual fields, punctum plugs and cataract surgery.

  • Routine Eye Exams include the examination of the eyes in the absence of disease or symptoms to determine the health of the organs and visual acuity.
  • Visual Aids are the manual correction of diminished eyesight by way of select eyeglasses and medically necessary contact lenses.

Fee Schedules

Clinical Coverage Policy 6A, Routine Eye Exam and Visual Aids


NC Medicaid Clinical Section
Phone: 919-855-4260
Fax: 919-733-2796