Vision benefits, provided through the health plans on the Colorado state exchange (Connect for Health Colorado) can vary based on whether the coverage is for adults or children.
Our clients, the Peterson family in Aurora, wanted to ensure their children had the best vision care possible but weren’t sure how their Colorado health insurance plan handled vision coverage for dependents. With two kids needing glasses, they needed clear answers. They reached out to our agency for help.
We provided the Petersons with a detailed breakdown of their insurance plan’s vision benefits, including coverage for pediatric eye exams and eyewear. We also explained how to take advantage of any discounts and reimbursements available to them. Thanks to our personalized advice, the Peterson family was able to get their children the eye care they needed without worrying about unexpected costs. Their kids now have the right glasses, and the Petersons are relieved to have their vision care fully supported by their insurance policies.
Colorado Health Insurance Vision Coverage Details:
- Pediatric Vision Coverage:
- Vision Coverage for children is considered one of the ten essential health benefits (EHBs) under the Affordable Care Act (ACA).
- Pediatric vision coverage typically includes annual eye exams, vision screenings, and corrective lenses (glasses or contact lenses).
- Adult Vision Coverage: Vision care for adults is not considered an essential health benefit under the ACA, so adult vision services typically aren’t covered
- Standalone Vision Plans: Individuals seeking more comprehensive vision coverage may need to purchase standalone vision insurance plans, which can be purchased directly from insurers.