Mother and daughter hugging

Medicaid Vision Coverage

Medicaid Vision Coverage

The Vision Care You Need

The Vision Care You Need

All of Highmark Wholecare’s in-network eye doctors accept Medicaid. This network helps you get the eye care, glasses, and contacts that you need.

All of Highmark Wholecare’s in-network eye doctors accept Medicaid. This network helps you get the eye care, glasses, and contacts that you need.

Vision Care Featured Benefits

Highmark Wholecare covers members necessary eye exams. Members are also covered for glasses and contacts.

  • Female eye doctor with patient using a phoropter

    Vision Check-Ups


    Seeing an eye doctor is important to keeping your vision healthy. Highmark Wholecare covers two necessary eye exams each calendar year.

  • Father with infant and toddler

    Keep Seeing Clearly


    A credit each calendar year helps pay for glasses and contacts. This credit can be used for standard frames, lenses and contacts. 

woman trying on glasses with doctor

Getting Glasses or Contacts

Getting Glasses or Contacts

You must get all eyeglasses and contact lenses from a Highmark Wholecare participating optical supplier.

You must get all eyeglasses and contact lenses from a Highmark Wholecare participating optical supplier.

Your Glasses and Contacts Coverage

Whether you prefer glasses or contacts to help you see clearly,
Highmark Wholecare has you covered.

  • Adult Glasses and Contact Coverage


    A $100 credit each calendar year helps pay for glasses and contacts. This credit can be used for standard frames, lenses and contacts.

  • Child Glasses and Contact Coverage 


    Glasses and contacts are covered for members under 21 years old. Replacements are covered if lost, broken, stolen or prescription changes.

  • Non-Standard Glasses and Contacts


    Members under the age of 21 are given a $20 allowance for non-standard frames and lenses. You will be required to pay for any amount over $20.00. 

Male doctor looking into a female child's eye with a hand held Ophthalmoscope

More Health Care Services Included in EPSDT

Growing Up with Highmark Wholecare is a program for members, from birth to age 21, that helps to make sure your child grows up healthy by screening them for a variety of medical conditions. This program helps keep your child’s eyes, ears, teeth and body healthy.
middle aged man at a workout class in a gym

Preventive Care

Preventive Care

Preventive care keeps you healthy with NurseLine, wellness coaching and other helpful programs.

Preventive care keeps you healthy with NurseLine, wellness coaching and other helpful programs.