Medically Necessary Contact Lenses
What are Medically Necessary Contact Lenses?
Why Do Insurances Cover Contact Lenses for Certain Patients?
Criteria for Medically Necessary Contact Lenses
- A documented medical condition that requires the use of contact lenses for treatment and inability to wear standard glasses to correct vision according to the Optometrist's exam.
- A prescription from an eye care professional recommending the use of contact lenses for the specific medical condition.
- Evidence that other forms of vision correction, such as eyeglasses, are not sufficient to treat the condition.
- Regular follow-up visits with an eye care professional to monitor the effectiveness of the contact lenses and make any necessary adjustments.
Types of Medically Necessary Contact Lenses
- Soft Contact Lenses: These lenses are made of a soft, flexible material and are often used to treat conditions such as myopia, hyperopia and astigmatism.
- Rigid Gas Permeable Contact Lenses: These lenses are made of a hard, gas-permeable material and are often used to treat conditions such as keratoconus and irregular astigmatism.
- Scleral Contact Lenses: Scleral These gas-permeable lenses are larger than traditional contact lenses and are designed to vault over the cornea, resting on the white part of the eye. They are often used to treat conditions such as keratoconus and severe dry eye syndrome.
- Hybrid Contact Lenses: These lenses combine the benefits of soft and rigid gas permeable lenses, providing the comfort of soft lenses with the visual acuity of rigid lenses. They are often used to treat conditions such as keratoconus and irregular astigmatism.