CareSource Vision: Medicaid Eye Exams, Glasses and Providers by State

Reviewed November 6, 2026. CareSource vision coverage depends on your state and your plan. CareSource Medicaid covers eye exams and glasses in Ohio, Georgia and Indiana, and in Ohio routine vision care comes through EyeMed. Children under 21 always have vision care under Medicaid, while adult coverage, how often you can get new glasses and any eyewear allowance differ from plan to plan.

Quick answer: To find CareSource vision providers, use the CareSource Find a Doctor tool at findadoctor.CareSource.com or call Member Services for your state, then call the eye doctor to confirm they take your plan. Ohio Medicaid adults get one eye exam every two years and glasses every two years through age 59 (every year from age 60). Georgia Medicaid adults get a yearly exam and $75 toward glasses or contacts. CareSource dual plans for people with Medicare and Medicaid add larger eyewear allowances. Details by state and plan are below.

CareSource vision coverage at a glance

Which states CareSource serves

CareSource’s plans page lists Medicaid plans in Ohio, Georgia, Indiana (Healthy Indiana Plan and Hoosier Healthwise), Michigan and Nevada, the CareSource PASSE in Arkansas, Marketplace plans in Georgia, Nevada, Wisconsin, West Virginia and other states, and Medicare dual special needs plans (D-SNPs), including Next Generation MyCare in Ohio. CareSource does not run a West Virginia Medicaid plan: the state’s Mountain Health Trust plans are Aetna Better Health, The Health Plan, Highmark Health Options and Wellpoint. For a full overview of CareSource plans, see Is CareSource Medicaid? States, plans and how to enroll.

CareSource Ohio Medicaid vision benefits

The CareSource Ohio Medicaid member handbook says, “Your vision benefits are provided through EyeMed.” It lists:

• Eye exams: “One comprehensive exam each year for those under 21 years old” and “One comprehensive exam every two years for those 21 years and older.”
• Glasses: “Everyone through 59 years old: one pair every two years, one replacement pair if needed” and “60 years and older: one pair per year.”
• Contacts: “Up to $100 towards the fitting fee and new contacts is covered.”
• Not covered: “Deluxe frames, transitions, and progressive lenses are not covered.” Vision surgery needs prior authorization.

Children under 21 may qualify for glasses more often when an eye doctor says they are medically necessary, because Medicaid’s EPSDT rules require coverage of needed treatment for children, including eyeglasses. Ask Member Services if your child needs a new prescription before the regular replacement date.

CareSource vision providers in Ohio

The handbook tells members to “find eye care providers at findadoctor.CareSource.com or by calling Member Services.” Because the network is EyeMed, many optometrists and optical stores that take EyeMed also take CareSource Ohio Medicaid, but not every EyeMed location is in the Medicaid network. Search the CareSource directory by “vision” or “optometry,” enter your ZIP code, and call the office to confirm before you book. Ohio Medicaid Member Services is 1-800-488-0134 (TTY 711).

CareSource Georgia Medicaid vision benefits

The CareSource Georgia Families member handbook says: “A yearly eye exam and $75 towards glasses or contacts is covered. The $75 is for adults.” Prior authorization is needed for contacts and for vision surgery. Children in Georgia Medicaid and PeachCare for Kids get vision screenings and needed glasses under EPSDT. Georgia Member Services is 1-855-202-0729 (TTY 711). CareSource Georgia members also get a Healthy Benefits+ OTC card in some plans; see Georgia Medicaid OTC benefits.

CareSource Indiana vision benefits (HIP and Hoosier Healthwise)

The CareSource Indiana HIP and Hoosier Healthwise member handbook lists, for HIP: “One routine exam per year up to age 20. One routine exam every two years over age 20,” and “One pair of glasses per year up to age 20. One pair of glasses every 5 years over age 20.” HIP Plus “includes vision, dental and chiropractic services,” while HIP Basic does not include routine vision for adults (except members aged 19 and 20). CareSource has also told HIP Plus members, in an enhanced vision benefit notice, that “You can get eye exams each year with your HIP Plus benefits,” with scratch-resistant and anti-reflective lens coatings added. Indiana Member Services is 1-844-607-2829 (TTY 1-800-743-3333 or 711).

Michigan, Nevada and Arkansas

CareSource also runs Medicaid plans in Michigan and Nevada and the CareSource PASSE in Arkansas. We could not confirm their vision schedules from CareSource documents for this review, so check your state’s member handbook on caresource.com or call the Member Services number on your ID card. For general rules on what Medicaid covers for eye care, see Does Medicaid cover eye exams, glasses and contacts?

CareSource dual plans: vision for Medicare and Medicaid members in 2027

If you have both Medicare and Medicaid, CareSource’s dual special needs plans usually give you more vision coverage than Medicaid alone. Original Medicare does not cover routine eye exams or glasses, so these plan benefits fill a real gap.

Next Generation MyCare Ohio (HMO D-SNP, H6396)

CareSource’s MyCare dental, vision and hearing page says routine vision benefits are covered by EyeMed. The standard benefit is an exam plus frames and lenses every 12 months for members under 21 or over 59, and every 24 months for ages 21 to 59. The enhanced benefit adds “Routine eye exams once per calendar year” and a “$250 eyewear allowance per year for a pair of eyeglasses (frame and lenses) and contact lenses.” The MyCare vision line is 1-844-206-6383 (TTY 711).

For 2027, CareSource’s 2027 MyCare benefits page says the Healthy Benefits+ card gives “$300 monthly” that members can spend on eligible items including vision, and that funds “don’t expire until the end of 2027.” In 2026 the card was $287 a month, according to the 2026 MyCare Ohio Summary of Benefits. How you can use the card is explained in CareSource Healthy Benefits+ card 2027.

CareSource Dual Advantage in Ohio and Georgia

CareSource’s Ohio Dual Advantage vision page lists a routine eye exam at “$0 copay, one per year” and a “$600 allowance per year toward eyeglass frames, eyeglass lenses or contact lenses,” with EyeMed discounts on extra purchases. The EyeMed number for this plan is 1-866-299-1425 (TTY 711). In Georgia, the 2026 Dual Advantage Summary of Benefits and the 2026 Dual Advantage PLUS Summary of Benefits both list a $0 routine eye exam once a year and a “$500 maximum plan coverage amount every year for all non-Medicare-covered eyewear.” These figures are for 2026. CareSource had not posted 2027 Summaries of Benefits for these plans when we checked, so confirm 2027 amounts in your Annual Notice of Change or by calling Georgia D-SNP Member Services at 1-833-230-2020 (TTY 1-833-711-4711 or 711).

CareSource vision insurance on Marketplace plans

CareSource Marketplace (ACA) plans include pediatric vision. In Ohio, the 2026 Ohio Marketplace supplemental benefits brochure also lists adult vision through EyeMed: one comprehensive eye exam per benefit year (cost share applies) and eyewear “covered in full up to $250 allowance per benefit year,” limited to one pair of glasses or contacts. In West Virginia, CareSource says it uses the EyeMed network for pediatric vision on all Marketplace plans, and adults get vision only with optional vision and fitness plans (CareSource WV Marketplace benefits).

How to use your CareSource vision benefits

1. Find an in-network eye doctor at findadoctor.CareSource.com (choose your state and plan) or call Member Services.
2. Call the office to confirm they take your CareSource plan and ask whether they handle EyeMed claims for CareSource.
3. Bring your CareSource member ID card. Ask which frames are fully covered; deluxe frames and extras like transitions or progressive lenses may cost extra.
4. Keep track of your last exam and glasses dates so you know when you are eligible again.

CareSource also covers dental care in Medicaid; see CareSource dental. To compare with another Medicaid plan, see Wellpoint vision coverage by state.

What federal Medicaid rules say about vision

Medicaid.gov lists eyeglasses as an optional benefit for adults, so each state decides what adults get. For children, EPSDT is mandatory: “Children and adolescents enrolled in Medicaid should receive both vision and hearing screenings at each well-child check-up,” and “EPSDT requires Medicaid coverage of necessary diagnostic and treatment services, including further testing, eyeglasses” (Medicaid.gov EPSDT vision services).

Frequently asked questions

Does CareSource cover vision?

Yes. CareSource Medicaid plans in Ohio, Georgia and Indiana cover eye exams and glasses on set schedules, and CareSource dual plans add yearly exams and eyewear allowances. What you get depends on your state, plan and age.

Who is the CareSource vision provider in Ohio?

EyeMed. The Ohio Medicaid handbook says vision benefits are provided through EyeMed, and the MyCare Ohio and Ohio Dual Advantage plans also use EyeMed.

How do I find CareSource vision providers near me?

Use findadoctor.CareSource.com, pick your state and plan, and search for eye care or optometry near your ZIP code. You can also call Member Services: Ohio 1-800-488-0134, Georgia 1-855-202-0729, Indiana 1-844-607-2829 (TTY 711).

How often can I get new glasses with CareSource?

In Ohio Medicaid, one pair every two years through age 59 and one pair a year at 60 and older. In Indiana HIP, one pair a year up to age 20 and one pair every five years over age 20. Georgia adults get $75 toward glasses or contacts.

Does CareSource cover contact lenses?

Sometimes. Ohio Medicaid covers up to $100 toward the fitting fee and new contacts. Georgia Medicaid requires prior authorization for contacts. Dual plans let you use the eyewear allowance on contacts.

This article is general information. Medicare365 is an independent website and is not affiliated with or endorsed by CareSource, EyeMed or any government agency. Benefits change and vary by state and plan; check your member handbook or Evidence of Coverage, or call the number on your member ID card.

Sources

• CareSource: Plans by state
• CareSource Ohio Medicaid member handbook
• CareSource Georgia Families member handbook
• CareSource Indiana HIP and Hoosier Healthwise member handbook (PDF)
• CareSource Indiana HIP Plus enhanced vision notice (PDF)
• CareSource: 2027 MyCare benefits
• CareSource MyCare: dental, vision and hearing
• CareSource 2026 MyCare Ohio Summary of Benefits (PDF)
• CareSource Ohio Dual Advantage: vision
• CareSource Georgia Dual Advantage 2026 Summary of Benefits (PDF)
• CareSource Georgia Dual Advantage PLUS 2026 Summary of Benefits (PDF)
• CareSource Ohio Marketplace 2026 supplemental benefits brochure (PDF)
• CareSource West Virginia Marketplace benefits
• West Virginia Bureau for Medical Services: Mountain Health Trust
• Medicaid.gov: mandatory and optional benefits
• Medicaid.gov: EPSDT vision and hearing services