SoonerCare is fairly confusing from a patient’s point of view when it comes to eye care. As a SoonerCare Eye Doctor I need to be up to date with changes in their guidelines. I also must be able to explain to my patient looking for Eye Doctors that takes SoonerCare these rules. This article will walk you through what SoonerCare will cover with regards to vision and eye care at the current moment for kids. I will also talk about SoonerCare coverage for adults.
SoonerCare in Network Guidelines
The purpose of SoonerCare is to make sure no one in Oklahoma is unable to see the Eye Doctor because of cost. This is why for the most part SoonerCare turns the visit into a free eye exam. Now SoonerCare won’t make the eye exam free for all of its members. There are still some requirements beyond just having SoonerCare in order to get a completely free eye exam and to get free glasses as well. All Eye Doctors that accept SoonerCare in Tulsa OK know these rules.
SoonerCare and children
SoonerCare will cover all “necessary” aspects of an eye exam for children under the age of 18. However, SoonerCare does not view contact lenses as being a “necessary” part of the eye exam. Therefore, if your child on SoonerCare is wanting to do contact lenses you can expect to pay something extra. SoonerCare will cover a certain group of frames. It will not cover all frames. However, the frames must be of good quality and expect to last at a minimum of 1 year. However, if the frame does break within 1 year SoonerCare will replace the broken frame. SoonerCare will also cover any needed follow up eye exams. Meaning if your child gets pink eye you can go to the Optometrist and will get that treated at no additional cost.
SoonerCare Vision Coverage for Adults
As for adults, SoonerCare only covers the medical portion of the eye examination. SoonerCare will not cover the refractive portion of the eye examination. In other words, SoonerCare will make sure the eyes are healthy and free of disease at no cost. But if you are needing a glasses prescription, a contact lens prescription, glasses, or contacts SoonerCare will not pay for those things. When it comes to SoonerCare vision coverage for adults it is mainly about diseases like dry eyes, headaches, glaucoma, and cataracts. The cost to get the glasses prescription should not be very expensive. After all, SoonerCare will cover the more expensive medical portion of the eye exam. SoonerCare for individuals over 18 will not pay for the glasses either.
Eye Doctor in network with SoonerCare Oologah
With the majority of kids in the Oologah and Collinsville area most Eye Doctors are an Eye Doctor in network with SoonerCare. SoonerCare is one of the first vision insurance plans that I apply to become a provider. It would surprise me if any Eye Doctor in Oologah or Collinsville was not in Network with SoonerCare. This means you should be able to assume that you can go to any Optometrist near me for the eye exam. For more information on how to find the best Eye Doctor near me please see my blog about that topic.
Eye Doctor in Network SoonerCare Summary
Collinsville Primary Eye Care is proud to be an Eye Doctor in network with SoonerCare. We are here to help people and as an Optometrist in network with SoonerCare we can do that for the vast majority of Oklahomans. If you want to learn more about SoonerCare you can visit their website here. Lastly, if you would like some tips on finding Eye Doctors that accept SoonerCare near me you can take a look at this blog post. Thank you for reading.