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

Reviewed November 5, 2026. Wellpoint vision coverage depends on the state you live in. Wellpoint, the Elevance Health brand that replaced Amerigroup in several states, runs Medicaid plans in Iowa, Maryland, New Jersey, Tennessee, Texas, Washington and West Virginia, and most of them cover eye exams and glasses through a vision partner such as Superior Vision. Children under 21 always get vision care under Medicaid; adult coverage and Wellpoint’s extra eyewear benefits differ from state to state.

Quick answer: To find Wellpoint vision providers, use the Find a Doctor tool on your state’s Wellpoint Medicaid page or the Sydney Health app, then call the eye doctor to confirm. Your vision partner is Superior Vision in Maryland, New Jersey, Texas, Iowa and West Virginia, and Wellpoint Vision (with the EyeMed network) for children in Tennessee. In Washington, Apple Health pays for most vision care directly. Find your state below for what’s covered and who to call.

Wellpoint vision coverage by state

Maryland

Wellpoint’s Maryland Medicaid benefits page lists an annual eye exam and glasses every year, or a contact lens allowance every year, for both children and adults. Its provider pages name Superior Vision as the vision partner. The Maryland member handbook describes the state benefit as eye exams every two years for adults 21 and older, and glasses once a year for members under 21, and says each MCO may offer additional adult vision benefits. So annual adult glasses appear to be a Wellpoint extra on top of the state benefit; confirm with Member Services (Wellpoint Maryland member handbook).

Texas

In the Texas STAR program, Wellpoint’s member handbook says children 20 and younger get a vision exam every 12 months and medically necessary frames and lenses or contacts every 24 months, and adults 21 and older get an exam and medically necessary eyewear every 24 months (Wellpoint Texas STAR handbook). Texas HHSC’s October 2026 comparison chart for the Bexar service area lists a Wellpoint extra: a $150 allowance once every two years for frames, lenses or contacts, which doesn’t cover tints, coatings, replacements or sunglasses (Texas HHSC STAR comparison chart). Superior Vision of Texas manages the network (800-428-8789). Wellpoint notes that CHIP Perinate members don’t have vision benefits (Wellpoint Texas provider search). Extra benefits can differ by service area and program, so check the chart for your area.

STAR Kids members can call 844-756-4600. For other Texas Medicaid plans’ extras, see Texas Medicaid OTC benefits.

New Jersey

Wellpoint’s New Jersey handbook (effective February 7, 2024) says Wellpoint contracts with Superior Vision to manage vision benefits. It covers a comprehensive eye exam once a year and one pair of lenses and frames, or contacts, every 24 months for members 19 through 59 (Wellpoint NJ member handbook). Wellpoint’s New Jersey extras page lists annual eye exams and glasses, plus a $100 contact lens allowance every two years instead of glasses. Ask Member Services about the eyewear schedule for members under 19 and 60 or older.

Tennessee

In TennCare, Wellpoint says Wellpoint Vision provides vision benefits for children under 21 only, and that it covers retinal eye exams for adults 21 and older with diabetes (Wellpoint Tennessee provider search). Wellpoint Vision uses the EyeMed network. The 2024 TennCare member handbook limits adult vision to medical evaluation and treatment of eye conditions, plus the first pair of cataract glasses or contacts after cataract surgery. Routine glasses for adults aren’t a TennCare benefit.

Washington

Wellpoint’s Washington page says vision benefits are paid by Apple Health when you use your ProviderOne services card (Wellpoint WA provider search). Wellpoint’s Washington extras page adds one pair of eyeglasses, up to $100 a year, for members ages 21 to 64.

Iowa and West Virginia

Wellpoint’s Iowa and West Virginia provider pages name Superior Vision for vision care (Iowa; West Virginia). We couldn’t read the current exam and eyewear schedules, so check your member handbook or call Member Services before you order glasses.

District of Columbia: Wellpoint DC has ended

DC’s Medicaid agency says that effective August 1, 2026, people enrolled with Wellpoint DC (formerly Amerigroup DC) were automatically assigned to AmeriHealth Caritas DC (DC DHCF: managed care plan transition). If you were a Wellpoint DC member, your vision care now runs through your new plan. See AmeriHealth Caritas DC.

How to find Wellpoint vision providers near me

1. Go to your state’s Wellpoint Medicaid site (wellpoint.com, then choose your state and Medicaid) and open Find a Doctor or Search Providers. You can search by name, specialty or location.
2. Search for eye care (optometrist or ophthalmologist) by ZIP code, or use the Sydney Health app.
3. Check the vision partner. In Superior Vision states, the eye doctor must be in the Superior Vision network for your Wellpoint plan.
4. Call the office and confirm it accepts your Wellpoint Medicaid plan for routine vision, then bring your member ID card.

For more on finding an eye doctor who takes Medicaid, see does Medicaid cover eye exams, glasses and contacts.

What Medicaid has to cover for vision

Medicaid.gov lists eyeglasses as an optional benefit for adults, so states decide whether adults get routine glasses (Medicaid.gov: mandatory and optional benefits). For children and teens, the EPSDT benefit requires Medicaid to cover necessary diagnostic and treatment services, including eyeglasses, even if the services aren’t covered for adults (Medicaid.gov: EPSDT vision and hearing). That’s why every Wellpoint state covers children’s glasses, while adult benefits vary.

Wellpoint vision insurance: is there a separate plan?

We didn’t find a standalone individual vision policy on wellpoint.com. Wellpoint sells group vision plans to employers, which it says include more than 42,000 eye doctors and optometrists at more than 32,000 locations, with partners such as LensCrafters, Pearle Vision, Target Optical and 1-800 CONTACTS (Wellpoint: group vision insurance). Wellpoint’s individual and family health plans are offered in Florida, Maryland and Texas, and its dental and vision page says select Marketplace plans in Texas and Florida include adult dental and vision.

Wellpoint Medicare and dual plans

Wellpoint also offers Medicare Advantage plans, including dual plans for people with Medicare and Medicaid, in states such as Arizona, Iowa, New Jersey, Tennessee, Texas and Washington. Original Medicare doesn’t cover routine eye exams for glasses (Medicare.gov: routine eye exams), so the yearly exam and eyewear allowance come from the plan. Amounts vary by plan; read the vision rows of the 2027 Summary of Benefits before you enroll during Open Enrollment, October 15 to December 7, 2026 (Elevance Health: 2027 Medicare Advantage plans). Our Wellpoint dental guide lists 2027 dual plan dental allowances, and Wellpoint OTC benefits 2027 covers the benefits card.

Frequently asked questions

Does Wellpoint Medicaid cover glasses?

For children under 21, yes, in every Wellpoint state. For adults it depends on the state: Wellpoint lists yearly adult glasses in Maryland, glasses every 24 months in Texas and New Jersey (ages 19–59 in NJ), and up to $100 a year in Washington (ages 21–64). TennCare doesn’t cover routine adult glasses.

Who is Wellpoint’s vision provider?

Superior Vision in Maryland, Texas, New Jersey, Iowa and West Virginia. In Tennessee, Wellpoint Vision uses the EyeMed network for children. In Washington, Apple Health pays vision benefits through your ProviderOne card.

How do I find Wellpoint vision providers near me?

Use Find a Doctor on your state’s Wellpoint Medicaid site or the Sydney Health app, search for eye care by ZIP code, and call the office to confirm it takes your plan.

Is Wellpoint the same as Amerigroup?

In several states, yes. Elevance Health renamed its Amerigroup plans Wellpoint starting in 2024, so older ID cards and letters may still say Amerigroup.

Does Wellpoint cover contact lenses?

Often as an alternative to glasses. Maryland lists a yearly contact lens allowance, New Jersey lists $100 every two years instead of glasses, and Texas STAR covers medically necessary contacts on the same schedule as glasses.

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

Sources

• Wellpoint: States we serve
• Wellpoint Maryland: Medicaid benefits
• Wellpoint Maryland member handbook (PDF)
• Wellpoint Texas STAR member handbook (PDF)
• Texas HHSC: STAR comparison chart, Bexar service area (October 2026, PDF)
• Wellpoint New Jersey member handbook (PDF)
• Wellpoint New Jersey: Medicaid extras
• Wellpoint Tennessee: search providers
• Wellpoint Washington: Medicaid extras
• DC Department of Health Care Finance: managed care plan transition
• Medicaid.gov: mandatory and optional benefits
• Medicaid.gov: EPSDT vision and hearing services
• Wellpoint: group vision insurance