North Dakota Medicaid members ages 0 through 20 are eligible for vision services. These services must be done by an eye doctor who is enrolled as a North Dakota Medicaid provider.
How often will vision services be covered?
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.
Can I choose any pair of glass frames that I want?
Certain lenses and frames are covered, ask your provider to see options.
What happens if I break my glasses?
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.
Are contact lenses covered?
Contact lenses and dispensing fees require prior approval and are covered only when medically necessary and not for cosmetic reasons.
Is there an age limit on my child’s vision services
There is no minimum age limit. If you have vision concerns for your child, please schedule a vision exam for them.