Health Plan Of Nevada Medicaid Eye Doctor


Pritchett Eye Care Associates

New health plan to help Nevadans in need

Pritchett Eye Care Associates proudly serves the Northern Nevada area with a tradition of quality service and friendly staff. Our doctors take great pride in offering every patient the absolute best in vision careâwhether through fitting them with eyeglasses or contact lenses, diagnosing cataracts, glaucoma, and other eye diseases, or recommending LASIK and other eye surgery procedures. We use the most advanced equipment, including many computerized instruments, to accurately analyze and assess your visual status and ocular health. In addition, we offer the latest frame styles, as well as all types of soft and hard contact lenses.

Our expert optometrists and experienced staff will take the time to answer all of your questions, explain treatment options, and provide the highest quality eye health treatments available in a setting that is friendly, organized, and efficient.

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Does Costco Have A Vision Department

Costco Wholesale is a membership-based retail business. Costco Optical centers are located inside Costco Wholesale stores.

Optical centers are staffed by qualified opticians and carry a wide selection of prescription and fashion eyeglasses, sunglasses and contact lenses. You can also get an eye examination by an independent doctor of optometry through Costco Optical. Costco Optical also has their own dedicated website.

You do not need a Costco membership to get a vision exam by an independent doctor of optometry at Costco Optical, however you do need a Costco membership to purchase optical items such as eyeglasses, sunglasses or contact lenses.

Health Plan Of Nevadas Prescription Drug Benefit Program

Health Plan of Nevada offers a Preferred Drug List and Plan Pharmacies to help keep prescription costs low while providing members with choice.

Health Plan of Nevada coverage also offers an Online Pharmacy and Mail Order Program, which provides 90-day supplies of medication ensuring affordability and safety. Members can contact specialist pharmacists when needed and can conveniently receive medications in the mail. They also provides easy and convenient access to personal prescription records.

Pole Vault

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Use The Links Below To Start Your Search can help you find a Optometrist who accepts Medicaid insurance in Nevada. Doctors of optometry are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify Related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Need Help Finding A Plan

Health Plan ID Card

Answer a few questions to see which insurance options may be available for you.


  • Primary insured must be 18 years of age or older.
  • Vision plans are administered by Spectera, Inc. 12-month initial policy term required . See plan brochure for specific information.
  • Available in most states. Additional premium required.
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    Health Plan Of Nevada History

    Health Plan of Nevada is the states oldest and most experienced health insurance plans provider. This insurance company has been providing health insurance since 1982. Sierra Health Services and its subsidiaries, including Health Plan of Nevada, were acquired by UnitedHealth Group in 2008. Health Plan of Nevada has been in business for over 30 years and offers the states top source of managed care. Health Plan of Nevadas provider network gives access to 2,200 doctors, specialists and other health care professionals plus 210 hospitals and facilities.

    Sierra Health Services and its subsidiaries, including Health Plan of Nevada, were acquired by UnitedHealth Group in 2008.

    Confirm Details Before Your Appointment

    Now that you have the official list of local eye doctors who accept the specific Medicaid plan you have, you should contact the provider to confirm several details before booking an appointment. You do not want any nasty surprises.

    • Provider directories are not always up-to-date. Call the vision center to verify that they still participate in your plan. Be specific.
    • Ask if they are taking new patients covered by Medicaid. Many providers treat a set number of low-income families to serve a public good. However, they often lose money on each individual because reimbursement rates are meager, so they institute a limit.

    Good luck!

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    Which Health Insurance Company Is The Best For Medicaid Recipients In Nevada

    In this section, weâll cover the three Nevada MCOs in detail so you can get a better understanding of which plan would suit you best.

    Before we talk about each plan separately, we should note that regardless of which MCO you choose, you will be able to access the basic Medicaid benefits.

    There are some services that Medicaid health plans must cover in each state, according to federal law.

    The basic benefits include a wide range of medical and wellness services, including the following.

    • Hospital stays, surgeries
    • Doctorâs visits, routine exams, minor procedures
    • Laboratory services, X-rays, screenings like mammograms, etc.
    • Pharmacy benefits
    • Home health care due to disability or illness
    • Nursing home stays
    • Financial rewards for regular doctorâs visits during pregnancy
    • Financial incentives for remaining tobacco free during pregnancy

    Areas covered

    Look for Anthem providers in your area.

    Co pays

    There are no co-pays for covered services.

    Customer Service

    • Available both in English and Spanish
    • 24/7 access to a NurseLine
    • LiveHealth Online – online doctorâs visits any time day or night
    • Helpful member handbook to better understand and make use of benefits

    Who is Anthem best for

    Anthem is a great option for all Nevada Medicaid beneficiaries, but it can be especially helpful for those living with a chronic illness like diabetes, because of their CareMore Care Centers feature.

    Know State Policy On Medicaid

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    It is important to know your Medicaid vision coverage in your state. This is called state policy on Medicaid and this may vary according to state. More importantly, there may also be different rules and regulations on Medicaid coverage. It is also important to know that your state is covering vision care. For this, you should know what eye doctors cover for eye care services.

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    Income Limits For Nevada Medicaid

    As a single individual, your annual pre-tax income canât exceed $16,971. For couples, the amount is $22,930.

    The income limits are tied to the federal poverty level . Typically, your income has to be under 138 percent of the FPL. So, the limits may change in the future if the FPL is revised.

    For the most up-to-date information, be sure to check The American Council on Aging also provides detailed information about income and assets for Nevada Medicaid.

    You can also check out our article on Nevada Medicaid enrollment for more details on income and asset requirements.

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    Burns, Brian F Md Physicians & Surgeons Physicians & Surgeons, Plastic & Reconstructive Physicians & Surgeons, Surgery-General Website 27 YEARS IN PRACTICE 576-1975 601 E San Antonio St Ste 302w Victoria, TX 77901 CLOSED NOW I am a patient of Dr Brian F Burns in Victoria Texas and had recent surgery.

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    About Health Plan Of Nevada


    Health Plan of Nevada is a UnitedHealthcare Company. Health Plan of Nevada is Nevadas oldest and most experienced health maintenance organization providing Nevadans with quality health care since 1982.

    HPN offers a variety of health insurance plans from traditional HMO plans to POS medial plan options. Offering dental, vision and prescription coverage options, Health Plan of Nevada helps consumers customize their health insurance policy to fit their individual needs.

    Eligibility For Medicaid Vision Coverage

    Health Plan ID Card

    More than 70 million Americans receive health care coverage through Medicaid, which provides health insurance and care to eligible citizens. Under federal laws, Medicaid must be offered to the following

    • Low-income families typically those at or below 133 percent of the federal poverty line
    • Qualified children and pregnant women
    • Individuals with disabilities, which includes blindness
    • People receiving Supplemental Security Income

    Each state has their own Medicaid program, and benefits can be expanded beyond these basic parameters to include more people, such as low-income adults. Preventative care through Medicaid includes checkups, which should also include a vision screening.

    Vision screenings can help to recognize a potential issue. You can then be referred for additional diagnostics and exams.

    Children using Medicaid automatically qualify for these vision services through federal guidelines, and each state can determine the extent of vision coverage for adults. Your doctor can help you determine what services are covered and at what amount.

    Typically, Medicaid offers services for free or at a reduced cost. While there is no charge for most services for children, there may be a small copay for adults using Medicaid services.

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    Go To The Online Provider Directory

    The online provider directory published by the private insurance company printed on your insurance ID card is the ultimate authority. Only they can provide an official listing of local eye doctors accepting the Medicaid plan that you have.

    Register to create an online profile or log in if you have already done so. Surf over to the provider directory and select the exact plan name . Input your zip code and the type of specialist you need to see.

    • Opticians are the least likely to take Medicaid patients because they design, fit, and dispense eyeglasses. Your state may have no coverage or strict limits on how often you can replace an old pair or update a prescription.
    • Optometrists are also less likely to take Medicaid because many states limit how often patients can undergo vision exams to detect refractive errors and update prescriptions for corrective lenses.
    • Ophthalmologists are more likely to take Medicaid patients throughout the country because they have medical degrees and treat eye diseases that fall into the medically necessary category. Your plan acts like health insurance in these instances.
    • Pediatric eye doctors are most likely to take Medicaid patients across the country because the Early and Periodic Screening, Diagnostic, and Treatment program requires vision benefits up to age 21. Plus, the same holds for the Childrens Health Insurance Plan

    How Can I Make A Same

    On average, patients who use Zocdoc can search for an Eye Doctor in Las Vegas who takes Health Plan of Nevada insurance, book an appointment, and see the Eye Doctor within 24 hours. Same-day appointments are often available, you can search for real-time availability of Eye Doctors in Las Vegas who accept Health Plan of Nevada insurance and make an appointment online.

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    Does Medicaid Cover Glasses

    The amount of vision coverage offered by Medicaid varies by state. Typically, Medicaid covers the cost of medically necessary vision care. What qualifies as medically necessary also varies by state, but it usually includes diagnosis and treatment of an illness, injury, condition, or disease.

    Eyeglasses and contact lenses do not always qualify as medically necessary, though many states cover the costs of services related to getting them anyway. The cost of prescription glasses and basic frames is usually covered, though you must confirm how much coverage your state offers through your individual Medicaid plan provider.

    Of note, most states do not cover the costs of contact lenses when they are requested only for cosmetic reasons, which is simply because you like the way they look better than eyeglasses. Some eye conditions qualify people for contact lens coverage. For example, people will be covered for contacts following cataract surgery.

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    Vision Benefits Under Medicaid

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    Vision care starts with preventative care. Under Medicaid, well-child checkups and exams should include vision screenings. Each state will determine how often these checkups and screenings are performed, but it is generally recommended that an annual eye exam is performed to ensure optimal eye health.

    Regular eye exams can help to catch any potential problems or changes in vision. They will also help to identify some health conditions like diabetes, high blood pressure, or glaucoma.

    Medicaid vision care benefits can include the following for low costs or completely free of charge, depending on your eligibility:

    • Eye exams
    • Contact lenses if they are medically necessary
    • Medical and surgical procedures
    • Screenings for glaucoma

    Medicaid covers standard eyeglass frames, eyeglass lenses, and contact lenses. Usually, specialty lenses or premium frames are not included.

    Most states will provide coverage for one pair of eyeglasses that is considered to be “Medicaid approved” each calendar year. Additional prescription eyewear may be covered as well if it is deemed medically necessary.

    You will need to see your Medicaid provider for the eye exam and lens fitting. They can often help you find approved prescription eyewear that will be covered under your Medicaid plan.

    Contact lenses may or may not be approved under your Medicaid coverage. This depends on your state of residence and the specific plan and provider you have.

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    Doctors Offices That Take Medicaid Near Me

    The doctors offices that take medicaid locations can help with all your needs. Contact a location near you for products or services. How to find doctors offices that take medicaid near me. Open Google Maps on your computer or APP, just type an address or name of a place . Then press Enter or Click Search, youll see search results as red

    Nevada Medicaid Benefits Overview

    SilverSummit Healthplan offers quality healthcare for Nevada Medicaid and Nevada Check Up members.

    Nothing is more important than you and your families’ health. This is why we offer medical care and benefits to fit your needs. This is not a full list. Our has details on all the available benefits.

    If you have any questions, contact us at 1-844-366-2880 .

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    How Can I Book An Appointment Online With A Medicaid Optometrist In Reno

    Zocdoc is a free online service that helps patients find Medicaid Optometrists in Reno and book appointments instantly. You can search for Medicaid Optometrists in Reno by symptom or visit reason. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.

    Which Is The Best Nevada Mco

    Health Plan ID Card

    Since all the MCOs are state-approved, they have to maintain a certain level of service and standard to maintain their approved MCO status.

    So, regardless of which one you choose, you can expect high quality service.

    What it comes down to then, is how easily you can access their services based on their networks. In other words, look for service providers in your area, or ones that you want to visit, and find out if they are covered under an MCO.

    You can use the links listed above to find providers under each plan.

    The other things to consider can be the additional medical services and perks offered by each MCO, and to see if any of those benefits meet a specific need for you or your family members.

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    What Will Medicaid Cover

    • Medicaid covers both routine and comprehensive eye exams which can include a variety of testing such as visual field test, pupil dilation, color blindness, glaucoma, and many others.
    • Medicaid covers glaucoma screenings for people at higher risk for glaucoma.
    • Medicaid covers eyeglasses that includes the frames, lenses, fittings, repairs and replacements of glasses.
    • Medicaid covers bifocal and trifocals, or for two pair of single vision glasses if bifocals dont work. Over-sized lenses, no-line, progressive multi-focal and transitions are not a covered Medicaid benefit. However, if you want to buy these, you can pay for the additional costs.
    • Medicaid only covers contact lenses if they are considered medically necessary and if there is no other alternative treatment. If they arent medically necessary, but you want them, you can pay for them separately.
    • Medicaid Covers safety frames.

    Pick The Medicaid Plan That Best Suits You

    Once youâve confirmed your eligibility, the next step is to pick an insurance plan that best suits you.

    As we mentioned previously, in the state of Nevada, Medicaid benefits are delivered and distributed through state-approved insurance plans known as Managed Care Organizations .

    Letâs say you need to visit the doctor for a check-up, screening, or an X-ray. Or perhaps you need to visit the pharmacy to fill your prescription.

    Youâd visit a doctor or pharmacy within your state-approved MCOs network. Theyâd provide you the necessary services, and for the most part, you wouldnât pay anything out-of-pocket if you have Medicaid.

    The service provider gets paid through the MCO, and the MCO gets reimbursed from the state.

    But depending on your specific needs, location, and other factors, specific MCOs might be better for you than others.

    And below, weâll cover each Nevada Medicaid plan in detail to help you understand which plan is right for you.

    But before, letâs quickly cover how to apply for Medicaid in Nevada, which is the next step.

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    Education And Leadership Positions

    • Board Certification: American Board of Ophthalmology
    • Fellow: American Academy of Ophthalmology, American Society of Ophthalmic Plastic and Reconstructive Surgery, American College of Surgeons
    • Physician CEO:
    • Fellowship Training: Ophthalmic Plastic and Reconstructive Surgery, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon
    • Residency: Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, Oklahoma
    • MD: University of Manitoba College of Medicine, Winnipeg, Manitoba, CA
    • Pre-med: University of Winnipeg, Winnipeg, Manitoba, CA

    If you are interested in learning more about New Eyes and the treatment options we offer, or would like to schedule an appointment with Dr. Hildebrand, please contact us today.


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