Service Limitations: Two Pairs of Eyeglasses Instead of Bifocals

The MassHealth agency pays for two pairs of eyeglasses instead of bifocals if one or more of the following conditions exists. Any condition listed below that warrants the use of two pairs of eyeglasses instead of bifocals must be fully documented in the member's medical record. (A) The member's prescription cannot satisfactorily be made into bifocal lenses. (B) The member has shown an inability to adjust to bifocals. (C) The member has a physical disability or medical condition (for example, severe arthritis) that would preclude or impede adjustment to bifocals. (D) The member's advanced age would make adjustment to bifocals unduly difficult. (E) The member's occupation would make bifocals hazardous. (F) The member has a marked facial asymmetry. (130 CMR 402.432 Reserved)