Medicaid covers eyeglasses in 41 states and all U.S. territories except Puerto Rico. Although Medicaid is a nationwide program, the services that medical coverage provides differ from state to state.
States also vary in their regulations as to what kind of vision problems qualify for aid and how often glasses can be bought. For example, in Arizona and Colorado, glasses are only covered under Medicaid if they are the result of vision problems after cataract surgery. In Pennsylvania, only adults with aphakia are covered. Other states restrict glasses coverage to those who meet a minimum level of needed vision correction. Most states allow Medicaid to cover the purchase of a new pair of glasses every one to three years.