Accessing quality vision care is crucial for everyone, and if you’re a Medicaid member, understanding how to find eye doctors who accept your insurance is essential. This guide simplifies the process, ensuring you can easily locate Medicaid Eye Doctors and receive the eye care you need.
For Traditional Medicaid Members: Locating Your Eye Doctor
If you are enrolled in traditional Medicaid, finding an eye doctor is straightforward. The quickest way to verify if your current eye doctor accepts Medicaid is to use the provider search tool. If your doctor is listed, it’s always a good idea to call their office to confirm they are accepting new Medicaid patients.
Don’t have an eye doctor yet? No problem. You can use the same provider search tool and simply enter your zip code to find Medicaid eye doctors in your area. This tool is designed to help you easily connect with local providers who participate in the Medicaid program.
It’s worth noting that provider participation can change. If you are unable to find your eye doctor in the search, it’s possible they may no longer be a Medicaid provider.
IHCP Provider Locator
For Managed Medicaid Plan Members: Vision Care Access
If your Medicaid coverage is through a managed care plan like Healthy Indiana Plan (HIP), Hoosier Healthwise, or Hoosier Care Connect, the process is slightly different. These plans require you to select a Primary Medical Provider (PMP) within their network.
While your PMP is your main point of contact for healthcare, accessing specialist care, such as from an eye doctor, might require a referral. It’s important to check with your PMP or your specific health plan to understand if a referral is needed before you schedule an appointment with an eye doctor. This step ensures that your vision care services will be covered by Medicaid.
For any questions or clarifications about your vision coverage or finding an eye doctor within your plan, contacting your health plan directly is always recommended. You can find contact information for each plan on the Contact Us page.
To find eye doctors within your specific health plan network, use the links provided by your plan.
MDwise
Anthem
MHS
CareSource
United Healthcare
Is Your Eye Doctor In-Network with Medicaid? Verification is Key
Always confirm that your chosen eye doctor is indeed a Medicaid provider. Using the IHCP Provider Locator is a crucial step to ensure they are in the Medicaid network. If you visit an eye doctor who is not enrolled in Medicaid, unfortunately, Medicaid will not cover the costs of your services.
If your preferred eye doctor is not a Medicaid provider, you can suggest they explore becoming one by visiting the Indiana Medicaid Provider Website. This could benefit both them and other Medicaid members seeking care in the future.
Taking the time to verify Medicaid participation ensures you receive the vision care you need without unexpected costs, keeping your focus on clear and healthy eyesight.
