Medi-Cal Member Vision Benefits for Eyeglasses

Independent Optician accepting Medi-Cal members and providing Vision Benefits for Eyeglasses at a member discount rate, US, Auburn, CA, FL, TX

Because we use our high-end labs to manufacturer eyeglasses to stay in line with our high quality standards, and we complete the job in-house to meet our quality standards, we are not in-network with Medi-Cal, which contracts with the California Prison Industry Authority (CALPIA), a business enterprise within the California Department of Corrections and Rehabilitation that employs inmates, which has been in place since 1988. We are supportive of the inmates having the opportunity of obtaining meaningful work and gaining work skills; however, due to 1.5-3 month long wait time and quality control issues, it is not feasible for us to use their lab without affecting our patient care experience and low optician error % rate. If you would like it 100% covered, you will need to find an in-network provider. Just understand, you will be limited to the selection of frames, typically consignment frames, and they will only cover CR-39 basic plastic lenses. We do not limit any medi-cal member on what frame they choose, and we also provided extended upgraded benefits which is NOT an option with medi-cal.

If you are looking for true craftsmanship, alternatively, we provide special member rates and this allows us to continue to deliver at a high level when it comes to the fabrication of eyeglasses. To receive these benefits, not only do you NOT have to pay a monthly insurance premium, you are only responsible for the member co-pay and any out of pocket amounts for upgraded materials which is more than fair when compared to the top tier vision insurance companies who charge monthly insurance premiums for you to receive the benefits we offer. We are NOT an online website, dropship company, or large corporate owned retailer; we are an INDEPENDENT OPTICANRY, so well crafted eyeglasses matters to us. This is why we are willing to not get paid by Medi-Cal due to our dedication to not compromise when it comes to delivering high quality eyeglasses. This is a request from many medi-cal patients who didn't want the cheapest made glasses the state provides, but also couldn't afford monthly vision insurance premiums.

See below for your member rate:

Lenses	Copay	Details
Single Vision	$35	(Copay for Lenses + Uncovered Amount)
Bifocal	$65	(Copay for Lenses + Uncovered Amount)
Trifocal	$90	(Copay for Lenses + Uncovered Amount)
Progressives	$125	(Copay for Lenses + Uncovered Amount)

Frames	Copay	Details
Standard	$25	$100 Frame Allowance
Deluxe (Premium Eyewear)	$50	$130 Frame Allowance + 20% off Overage

Description	CPT Code (HCPCS)	U&C	Benefit Coverage	Patient Copay	Benefit Adjustment	Uncovered Amount	Patient Balance
Lenses, Single Vision (CR39)	V2100-V2199	99.00	99.00	35.00		0.00	35.00
HD Lenses, Single Vision (Trivex) with AR (C)	V2100-V2199, V2750	199.00, 99.00	118.00	35.00	36.00	144.00	179.00
HD Lenses, Single Vision (Hi-Index 1.66) with AR (C)	V2100-V2199, V2750	229.00, 99.00	118.00	35.00	42.00	168.00	203.00
Lenses, Bifocal (CR39)	V2200-V2299	129.00	99.00	65.00	30.00		65.00
Progressive Upgrade (N)	V2781	540.00	50.00	0.00		490.00	490.00
Progressive Upgrade (O)	V2781	330.00	50.00	0.00		280.00	280.00
Progressive Upgrade (J)	V2781	190.00	50.00	0.00		140.00	140.00
Lenses, Trifocal (CR39)	V2300-V2399	179.00	99.00	90.00	80.00		90.00
More Options are Available Upon Request
Tint, photochromatic, per lens, Single Vision	V2744	90.00	10.00	80.00			80.00
Tint, photochromatic, per lens, Multifocal	V2744	120.00	10.00	80.00	30.00		80.00
Anti-Reflective Coating (C)	V2750	99.00	19.00	80.00			80.00
Anti-Reflective Coating (D)	V2750	179.00	19.00	90.00	30.00	40.00	130.00
Lens Material Upgrade		varies					varies
Frame, Standard	V2020	99.00	99.00	25.00			25.00
Frame, Deluxe	V2025	389.00	130.00	50.00	20% discount off overage	207.20	257.20

Assorted Contact Lenses	V2500-V2599				10% off minimum 3 month supply

Medi-Cal Member Vision Benefits for Eyeglasses

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