If you have called dozens of optical shops in Brooklyn, Queens, the Bronx, Staten Island, or Manhattan asking for help with Keratoconus only to be told, "We don't do that through Medicaid," you are not alone.

Finding an eye doctor willing to fit medically necessary scleral lenses in NYC through state plans is notoriously difficult. Here is the industry reality of why you are being turned away, and what we are doing to fix it.

Barrier 1: The Administrative Burden

Getting Medicaid managed care plans like Healthfirst, Fidelis Care, or Superior Vision to pay for specialty lenses requires hours of meticulous paperwork and Prior Authorization submissions. Most standard retail optical chains simply don't have the administrative infrastructure to handle it.
 

Barrier 2: Lack of Specialized Equipment

Accurate scleral lens fittings require advanced mapping technology, like corneal topographers, which many basic vision centers do not invest in. Without this equipment, they cannot provide the clinical evidence that Medicaid requires to prove "medical necessity."
 

The Green Eye Care Difference

At Green Eye Care, we specifically built our practice to handle these exact complexities. We believe that everyone in New York City deserves access to sightsaving technology, regardless of their insurance type. We welcome Medicaid specialty cases and have the advanced technology needed to ensure a perfect fit.

To learn more about the process, head over to our main Medicaid Scleral Lenses NYC page or read how to get scleral lenses covered by Medicaid in NYC.

Don't give up on clear vision.

Book your appointment online today

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contact our office.

Visit Us: Green Eye Care 404 E 117th St New York, NY 10035