Service Limitations: Extra or Spare Eyeglasses

The MassHealth agency pays for an extra or spare pair of eyeglasses on a prior authorization basis only. Any condition that warrants the use of an extra or spare pair of eyeglasses must be fully documented in the member's medical record. The MassHealth agency grants a prior authorization request for extra or spare eyeglasses only if one or more of the following conditions exists: (A) aphakia; (B) more than 7.00D of myopia or hyperopia; or (C) more than 3.00D of astigma.