Did You Know That There Are Contact Lenses Used for Medical Purposes?

Contact lenses are used to help people see better or for cosmetic purposes and they're also used for a variety of medical reasons which will be discussed below.

Did You Know That There Are Contact Lenses Used for Medical Purposes? in Manhattan

Non-Elective Contacts

Contacts are considered medical devices because they require an optometrist's prescription. However, since in most cases they are used for cosmetic reasons or personal preferences, they are considered “elective” and health insurance companies won't cover the cost. 

Yet in certain instances, contacts are listed as medically necessary for vision correction, and health insurance plans may pay for them. The following article explores several examples of medical lenses and the reasons they may be prescribed.

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What Kinds of Conditions Require Medical Contacts?

There are several types of ocular diseases and conditions in which standard glasses cannot provide adequate corrective measures. In these instances, contacts become a necessity rather than a cosmetic option. The following conditions sometimes require such lenses:

  • Ametropia: These include cases where someone has such a high prescription that is no longer effective. Myopia (nearsightedness) is a type of ametropia, and myopia management often involves the use of contact lenses to slow down the progression of the condition.In these examples, contacts provide superior benefits.
  • Anisometropia: An ocular condition where the eyes have unequal focus or power.
  • Aphakia: A condition involving the absence or removal of an ocular lens, either from trauma, surgery, or an underlying condition.
  • Dry Eye Syndrome: People with severely dry eyes are sometimes prescribed lenses that provide a more moisturized environment. Scleral lenses are sometimes prescribed for this condition.
  • Corneal Irregularities: Corneas that are shaped differently. Keratoconus is an ocular disease that causes structural damage and alters the shape from spherical to cone-shaped. Other corneal complications that are treated with contacts include Fuchs’ dystrophy which causes a thickening of the cornea, blurriness, and sensitivity to light/glare; and Lattice dystrophy, which can cause pain (a sensation that something is in the eye), tearing, blurriness, and sensitivity to light and glare.
  • Corneal surgery: Sometimes complications involving scarring occur after corneal surgeries such as Lasik, Prk, and LASEK. In such instances, standard glasses are inadequate and speciality contacts may be necessary. These include the use of scleral lenses which rest on the sclera portion of the eye, rather than the cornea.

Types of Contacts for Medical Purposes

The above-mentioned conditions require lenses to correct eyesight since standard glasses cannot provide adequate visual acuity. They come in the following types:

  • Hybrid: a combination of soft and hard providing crisp vision with the comfort of a soft lens.
  • Gas permeable: Permits the optimal flow of oxygen to the ocular region.
  • Scleral: These differ from other lenses in that they sit on the sclera rather than the cornea.
  • Soft: While they are more comfortable than hard options, they usually don't provide the best vision for health reasons.
Types of Contacts for Medical Purposes
Additional Information

Additional Information

Many health insurance plans will cover the cost of contacts when they are essential. Speak with your provider.

Common Questions

In most instances, they are not covered, although hi-tier plans may differ.
They are only considered medical because they require a prescription. Health insurance plans generally agree that standard glasses are sufficient and most are only willing to cover instances where they are necessary. In those instances where glasses are not an option, they may be considered a necessity. Unless they are essential, most health plans consider them elective
Did You Know That There Are Contact Lenses Used for Medical Purposes?
Dr. Wernick cartoon

Contacts For Health Reasons

Contacts are sometimes prescribed for ocular conditions where standard glasses cannot provide sufficient improvement of eyesight. Under such circumstances, they are considered a necessity for vision correction, and a patient may be covered under health insurance. Types of lenses include those that sit on the sclera, gas permeable types, hybrid, and soft options. For specifics on your health insurance’s policies, speak with a provider to find out more.

Testimonials


  • At Amplify with Dr Wernick I was seeking help for seemingly intractable, probably age-related dryness. I've seen other doctors about it, and that has been helpful, but what he explained to me about it and the careful way he answered all my questions gave me so much more of a clear understanding of what is going on (and is not) that I am more able to implement all his and others' recommendations than I was before. And he gave me additional resources for further follow-up. I am most grateful.


    Cynthia Norton

  • Wow! This is a great Eye Care medical facility. I was thoroughly examined by Dr. Pinkhasov for over 2 hours. She made sure to check my eyes for pretty much everything and patiently explained proper care for my eyes. They definitely know how to provide great care and treat their patients right. Now I know why they have such a great reputation and been around for so long.


    Steve Fay

  • Dr. Kavner is a gifted diagnostician and orthoptic therapist. He treated me several decades ago for a condition similar to dyslexia. I was having migraines five times per week. I worked with him for about a year and I experienced tremendous improvement (down to 3-4 per year) that has lasted.


    Mary K.

  • Dr. Kavner recommended two types of eye therapy for my daughter. One of them using bio-feedback. In just three sessions she is seeing considerably better. She shouted this morning: Ooh my God! I could not see these letters with my glasses on, and now I can see them without my glasses. If you are willing and able to invest in improving your vision, this is a good place to go to!


    Peter G.

  • Dr. Kavner recommended two types of eye therapy for my daughter. One of them using bio-feedback. In just three sessions she is seeing considerably better. She shouted this morning: Ooh my God! I could not see these letters with my glasses on, and now I can see them without my glasses. If you are willing and able to invest in improving your vision, this is a good place to go to!


    Kinkie F.

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