Vision Services
Medi-Cal
Eye exams are covered by L.A. Care for members of all ages. Members who are under 21 years of age, pregnant or living in a nursing home are covered for one pair of eyeglasses every two (2) years unless the prescription changes. This includes lenses and covered frames for eyeglasses when authorized.
To find out more about eye exams or vision care coverage, call Vision Service Plan at 800-877-7195 (TTY: 1-800-428-4833). No-cost interpreting services, including American Sign Language, are available.
L.A. Care Covered™ and L.A. Care Covered Direct™
L.A. Care Covered™ and L.A. Care Covered Direct™ provides vision coverage for members up to the age of 19 through VSP. Coverage includes
- One routine eye exam per year
- One (1) eyewear prescription (one pair of glasses or contact lenses) each year
Copays do not apply to these services. Laser vision procedures are not covered. To locate a participating provider, call VSP at 1-800-877-7195. You can also review the Evidence of Coverage (Member Handbook) for L.A. Care Covered™ and L.A. Care Covered Direct™ or call L.A. Care Covered Member Services at 1-855-270-2327 (TTY: 711) for more coverage details.
PASC-SEIU Plan
There is currently no coverage for routine vision services of any kind. Call our Member Services Department at 1-844-854-7272 if you have any questions.
Cal-MediConnect
As a Member of L.A. Care Cal MediConnect Plan you are covered for a variety of Vision services including:
- One (1) routine eye exam every year,
- Up to $200 for eyeglasses (frames and lenses) or up to $200 for contact lenses every two years.
The plan will pay for outpatient doctor services for the diagnosis and treatment of diseases and injuries of the eye. For example, this includes annual eye exams for diabetic retinopathy for people with diabetes and treatment for age-related macular degeneration. For people at high risk of glaucoma, the plan will pay for one glaucoma screening each year.
To find out more about vision care covered through L.A. Care Cal MediConnect, please review your L.A. Care Cal MediConnect Plan Member Handbook or call Member Services at 1-888-522-1298 (TTY: 711) 24 hours a day, 7 days a week, including holidays.