Medicaid Vision Insurance in Arizona

When it comes to Medicaid vision insurance in Arizona, eligibility and coverage are determined by a number of factors, including the age of the Medicaid beneficiary. Those who are younger than 21 years of age receive more Arizona Medicaid vision benefits and vision coverage options as opposed to those who are 21 years of age or older. However, there are still some coverage options for older adults. Understanding which type of Medicaid vision coverage you are eligible to receive can be crucial for avoiding out-of-pocket costs. For more information regarding Arizona Medicaid vision care, continue reading the following sections.

Medicaid Vision Insurance Eligibility Requirements in Arizona

It is important to understand the Medicaid vision insurance that is available to you based upon your eligibility. All Medicaid beneficiaries will receive some emergency vision care. However, it is important to know who is eligible for general AZ Medicaid vision benefits, such as regular vision screenings, treatments and even glasses.

The difference between these types of Medicaid vision insurance coverage are very straightforward as they ultimately depend on the age of the individual requesting service. In order to be eligible for Medicaid vision insurance in Arizona, that is not related to an emergency, the Medicaid beneficiary must be younger than 21 years of age.

Additionally, candidates must meet Medicaid eligibility requirements in order to be eligible for vision coverage through Medicaid. These eligibility requirements include the following:

  • Be a citizen of the United States, a permanent resident or have a lawful presence within the United States.

  • Be a resident of Arizona.

  • Meet income guidelines for Medicaid that have been set forth by the state of Arizona.

Arizona Medicaid Vision Benefits for Adults 21 Years of Age or Older

Medicaid vision insurance in Arizona provides very limited coverage when it comes to adults who are 21 years of age or older. While emergency eye care is available to these adults, routine exams and glasses are not generally covered. Arizona Medicaid vision care will generally cover the treatment of medical conditions of the eye, excluding eye examinations for prescription lenses and the purchases of these lenses, even if the beneficiary is 21 years of age or older. Medicaid vision care may also include ophthalmic services that are related to Phacogenic Glaucoma and Phacogenic Uveitis.

Additionally, AZ Medical Assistance vision benefits include cataract removal for all members, so long as the cataract is visible by either exam or ophthalmoscopic or slit lamp. For coverage to take effect, however, beneficiaries must meet certain qualifying conditions. For example, the beneficiary can qualify for cataract removal if he or she has visual acuity that is unable to be corrected by lenses to be better than a 20/70 acuity, and is reasonably attributable to the cataract in question. To learn about additional qualifying conditions, you can download our comprehensive guide today.

AZ Medicaid Vision Care for Beneficiaries Younger Than 21 Years of Age

The coverage options for Medicaid vision insurance in Arizona are different for beneficiaries who are younger than 21 years of age, as outlined in the above section. While those younger than 21 years of age will still receive the above outlined benefits, including emergency eye care, they will also receive additional benefits and treatment options.

Medical Assistance vision insurance for individuals who are younger than 21 years of age will also include regular vision exams, including exams that are done for the purpose of obtaining prescription lenses. Arizona Medicaid vision benefits also include the provision of prescription lenses and glasses.

How to Enroll in AZ Medicaid Vision Insurance

Now that you have received a greater insight into AZ Medicaid vision care, it is worth knowing how to obtain the vision coverage that has been outlined in the above sections. Fortunately, these Arizona Medicaid vision benefits are provided to Medicaid beneficiaries without an additional application or enrollment.

If you have not yet learned how to submit a Medicaid application, you can apply for Medical Assistance online, by fax, by mail or by visiting your local office. If you are eligible for Medicaid, including income guidelines, residency and citizenship eligibility requirements, you will receive vision benefits in addition to your regular Medicaid.

For more information on the Medical Assistance insurance in AZ that you may be eligible for, including the differences between the types of vision insurance provided by Medicaid, be sure to take the time to download our complimentary guide.



Who Is Eligible to Get Health Services in Arizona?

Residents must meet the eligibility requirements established by the Arizona Health Services Department in order to quality for programs such as Medicaid and Medicare. Your income and age might be significant factors regarding your eligibility, but requirements vary. To learn more about AZ medical assistance, download our guide today.


What Kinds of Health Care Services Can I Receive in Arizona?

Arizona health care services differ significantly in regards to price and coverage. A resident’s eligibility might also play a role in the cost of each service. To learn about how you can apply for these health services, please download our guide now.