The New Health Care Law’s Pediatric Essential Eye Health Benefit

by | Aug 27, 2013 | News

baby-smile-200

Effective as of January 1, 2014, under the rules of the new Affordable Care Act’s pediatric essential eye health benefit, your children are now covered for annual comprehensive eye exams.

Here’s an overview of the U.S. Department of Health and Human Services’ special regulatory announcement, its expected impact on optometry, and what it means for your family:

  • Millions of children will gain health insurance coverage through age 18 that includes direct access to their local optometrist for a comprehensive eye exam and treatment, including medical eye care.

  • Pediatric eye health care is confirmed as an “Essential Health Benefit,” and must be offered by all new health plans as a distinct benefit from well child care.

  • Pediatric eye health care is defined as an annual comprehensive eye exam and treatment, including medical eye care.

  • All new health plans – both inside and outside of state exchanges – are required to provide fully integrated coverage for pediatric eye health care and must recognize optometrists as providers of medical eye care.

  • Vision plans are permitted to partner with health plans in the offering of fully integrated eye health care coverage inside and outside of state exchanges.

WP-Backgrounds by InoPlugs Web Design and Juwelier Schönmann