![]() Some prescription drugs require a prior authorization. If you have questions about vision benefits, please call 31 / 85 (toll-free) / 711 (TDD/TTY). You must go to an in-network provider to receive vision services. If certain prescription requirements are met, single vision and bifocal lenses for your glasses are fully covered.If the cost of your contact lenses is above $100, you are responsible to pay for the difference in price. ![]() The fitting fee is fully covered and you get a $100 allowance toward the cost of your contact lenses. As an added benefit, all members can choose contact lenses instead of eyeglasses.For members 20 years and younger, 1 pair of eyeglasses are available every calendar year.For members 21 years and older, 1 pair of eyeglasses are available in a two-year period.If the frames cost more than $100, you are responsible to pay for the difference in price. As an added benefit, you can choose a $100 allowance toward the retail value of frames. Your choice from our standard selection of frames.All members get one exam from our network of optometrists and ophthalmologists every year.Practice visits for enrollees with special needs.Podiatry services (foot and ankle care). ![]() Physical, occupational, and speech therapy services.Pharmacy services (drugs used in the treatment of hepatitis C are covered only if dispensed in accordance with coverage criteria approved by the Illinois Department of Healthcare and Family Services, HFS).Nursing care for the purpose of transitioning children from a hospital to home placement or other appropriate setting for enrollees under age 21.Nursing care for enrollees under age 21 not in the HCBS waiver for individuals who are MFTD.Mental health services provided under the Medicaid clinic option, Medicaid rehabilitation option, and targeted case management option.Medical supplies, equipment, prostheses and orthoses, and respiratory equipment and supplies.Maternity care before, during and after childbirth, including free-standing birth center services.Federally Qualified Heath Centers (FQHCs), Rural Health Clinics (RHCs), and other encounter rate clinic visits.Family planning (birth control) services and supplies.EPSDT services for enrollees under age 21 (excluding shift nursing for enrollees in the MFTD HCBS waiver for individuals who are medically fragile and technology dependent (MFTD)).Transportation to get to covered services.Transplants using transplant provider certified by HFS. ![]()
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