Health Tracks Vision Services Information

Members ages 0 through 20 are limited to one exam and one pair of glasses every 365 days. If new glasses are required for a big change in correction, the glasses need to be prior approved.

Certain lenses and frames are covered, ask your provider to see options.

If the first pair of glasses are broken and the damages are not covered by the warranty, they may be replaced if they are within the 365-day replacement time.

Contact lenses and dispensing fees require prior approval and are covered only when medically necessary and not for cosmetic reasons.

There is no minimum age limit. If you have vision concerns for your child, please schedule a vision exam for them.

No, glasses for members who become eligible for Medicaid going back are not covered. However, eye exams are covered for members who become eligible going back. For example, a member had an eye exam and ordered glasses on July 15, then on September 1, the member became eligible for Medicaid going back to July 1. North Dakota Medicaid would cover the eye exam, but not the glasses.