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Contact lenses... What makes them medically necessary?

Started 1275316784.993 in Viewpoints | Last reply 1275323621.683 by cats02

Anyone know?

We are reviewing a new insurance plan that has vision.

Please don't make this a diatribe about HC.

Whoever said diamonds are a girls best friend... never owned a dog.

Don't try to win over the haters, you are not the jerk whisperer.

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Ms Lorraine1275316975.0074171 PostsRegistered 6/9/2008

Do you mean, instead of glasses?

azgal1275317185.541282 PostsRegistered 7/31/2007arizona

Maybe it means you need corrective lenses and you are not just getting them to change your eye color.

I don't think they are thought of as cosmetic anymore. You might want to call the cmpany and ask .

We should be too big to take offense and too noble to give it. Abraham Lincoln

Doc-Mom1275317206.47716317 PostsRegistered 6/14/2006
On 5/31/2010 Ms Lorraine said:

Do you mean, instead of glasses?

Yes.

Whoever said diamonds are a girls best friend... never owned a dog.

Don't try to win over the haters, you are not the jerk whisperer.

Merle Byrd1275317306.1434655 PostsRegistered 10/21/2009

I've read, and heard from friends, contact lenses can improve your eyesight.

Merle


BLH1275317331.0331517 PostsRegistered 1/21/2009

contact lenses can be medically necessary for some eye conditions (ex: keratoconus, aphakia etc)

marygray1275317462.1247973 PostsRegistered 5/8/2005

Who says they are ever "necessary" ?????????????????

Be who you are and say what you feel, because those who mind don't matter, and those who matter don't mind. "

Marp1275317607.24313480 PostsRegistered 10/6/2004Western NC

A lot of people can have better corrected vision with contacts than with conventional glasses and they are some contacts are prescribed to help correct astigmatism as they put gentle pressure on the eye and reshapes it.

A dog chasing his tail eventually bites himself.

Doc-Mom1275317960.42716317 PostsRegistered 6/14/2006
On 5/31/2010 blackbeltshopper1 said:

Who says they are ever "necessary" ?????????????????

Apparently insurance does cover it, so it must be.

Whoever said diamonds are a girls best friend... never owned a dog.

Don't try to win over the haters, you are not the jerk whisperer.

Doc-Mom1275318003.70716317 PostsRegistered 6/14/2006
On 5/31/2010 Marp said:

A lot of people can have better corrected vision with contacts than with conventional glasses and they are some contacts are prescribed to help correct astigmatism as they put gentle pressure on the eye and reshapes it.

Thanks Marp.

That was my thought. Astigmatism came to mind.

Whoever said diamonds are a girls best friend... never owned a dog.

Don't try to win over the haters, you are not the jerk whisperer.

starling1275318055.093111 PostsRegistered 1/7/2007

Glasses can cost more than contacts, at least for me. I spend a lot less $$ per year on contacts than I would on glasses. And vision correction is very necessary for me.

missyw11275319017.35732113 PostsRegistered 3/4/2007

I tried contacts, and I could not put them in.

Rowdymom1275319309.65313089 PostsRegistered 6/20/2005SE PA
On 5/31/2010 azgal said:

Maybe it means you need corrective lenses and you are not just getting them to change your eye color.

I don't think they are thought of as cosmetic anymore. You might want to call the cmpany and ask .

That's my take on it. As long as my lenses are prescribed, my insurance covers them. I do have to make a choice, either 2 boxes of contacts or one pair of glasses. Since I wear progressives, I take the glasses and buy my lenses.

blonde/gray, blue-gray, dry combination, neutral beige. WEN, Somerville, Clinique

greengem-1275319412.6235939 PostsRegistered 3/1/2008

>Who says they are ever "necessary" ?????????????????

some opthamologists {#emotions_dlg.rolleyes}

--

... and the sea will grant each new hope, as sleep brings dreams of home

Rowdymom1275319438.33313089 PostsRegistered 6/20/2005SE PA
On 5/31/2010 BLH said:

contact lenses can be medically necessary for some eye conditions (ex: keratoconus, aphakia etc)

Congenital cataracts or any condition that requires removal of the lens would be another indication. My friend has had multiple eye surgeries and her cornea is clouded. Her insurance will pay for a "prosthetic lens" that is hand painted to look like her other eye.

blonde/gray, blue-gray, dry combination, neutral beige. WEN, Somerville, Clinique

kimthib1275319806.83899 PostsRegistered 4/1/2006

Some of these snarky answers are really uncalled for--especially aimed at the doctors who, believe it or not, are really struggling these days with all the ridiculous rules and insurance plans that make it more difficult every day. Anyway, to answer the question, "medically necessary" contacts are for medical conditions that can only be fixed by certain types of contacts--keratoconous (a severely misshapen cornea) comes to mind, for one. Treatment of that condition requires several doctor visits and fittings to come up with the correct lenses. Normal eyesight conditions such as astigmatism, near- and far-sightedness are not considered "medically necessary"--contacts for those conditions would fall under the "cosmetic" category and under some insurance plans are not covered.

Doc-Mom1275321798.37716317 PostsRegistered 6/14/2006
On 5/31/2010 kimthib said:

Some of these snarky answers are really uncalled for--especially aimed at the doctors who, believe it or not, are really struggling these days with all the ridiculous rules and insurance plans that make it more difficult every day. Anyway, to answer the question, "medically necessary" contacts are for medical conditions that can only be fixed by certain types of contacts--keratoconous (a severely misshapen cornea) comes to mind, for one. Treatment of that condition requires several doctor visits and fittings to come up with the correct lenses. Normal eyesight conditions such as astigmatism, near- and far-sightedness are not considered "medically necessary"--contacts for those conditions would fall under the "cosmetic" category and under some insurance plans are not covered.

Thanks for the great info. and ITA about the snarky comments ...so not medically necessary....{#emotions_dlg.lol}

Whoever said diamonds are a girls best friend... never owned a dog.

Don't try to win over the haters, you are not the jerk whisperer.

Subject1275322448.3211269 PostsRegistered 2/24/2007

I have been wearing contacts for well over 40 years. I started with the hard lenses in high school ( all they had back then) and now wear gas permetable( hard lenses that breath). I have regular glasses I only wear for maybe an hour at night before I go to sleep. I see better with my contacts. I am legally blind without corrective vision( 20/400) and contacts give me better than 20/20 vision with clarity and comfort. They are not for cosmetic reasons at all. They are covered with my insurance- one set of contacts and one pair of glasses every two years.

.

cats021275323621.6831663 PostsRegistered 12/6/2007

That would be something for your Ophthalmologist and/or Optometrist and/or Primary Care Physician to decide. They are the ones who'll describe the medical necessity to the insurance company.

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