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The Challenge

Pediatric vision coverage is a benefit covered under the Affordable Care Act (ACA) and can also be a benefit within some medical insurance policies for children and adults. High Deductible Health Plans may include vision coverage, but not until a member has met their deductible.

The Approach

While medical insurance carriers may embed this benefit into their policies, we also work closely with carriers that specialize in vision plans. As always, we do our due diligence and offer our clients various plan options and costs.

The Recommendation

As people get older, the use of glasses or contacts grows rapidly. The majority of people in their forties wear a visual aid. The rate for people in their fifties rises to 90 percent. If your employee has purchased glasses or contacts, they understand the high cost for frames, lenses and prescription sunglasses. Having inexpensive coverage allows the member the ability to update their prescription on average every year, and frame choice every two years. When we put a plan in place for a client, it’s amazing how quickly employees use this benefit!

*These results are for illustrative purposes only and should not be deemed a representation of future results. Circumstances, solutions, and/or results are based on specific facts tied to unique client situations. Favorable results cannot be guaranteed even in a similar scenario. Each specific set of circumstances will differ depending on client needs and profile. Actual results may be more or may be less than those shown. Past performance does not guarantee future results. This assessment is that of the writer, and not the recommendations or responsibility of Cetera Advisor Networks, LLC or its representatives.