Your vision coverage with CHPW
Your vision is an important piece of your health, so regular eye care should be easy to get. You don’t need a referral from your doctor to get regular vision checkups.
Learn about Community Health Plan of Washington’s (CHPW) vision benefits for adults and children.
Eye care for adults (age 21 and over)
Your regular eye exams are covered under your CHPW plan. That means you don’t have a copay for them.
- Routine eye exams for adults are covered through VSP’s network of providers.
- The VSP network offers CHPW members access to twice as many providers as before
- Members can choose frames from Genesis™ brand eyewear*
- Your routine coverage includes one eye exam every 24 months
*Genesis™ frame selection may vary at your vision provider’s office.
Eye care for kids (age 20 and younger)
Kids who are CHPW members get the following eye care benefits:
Routine eye exams for kids are covered by CHPW. Children (age 20 and younger) can get one eye exam every year.
Eyeglass adjustments and repair are covered for children age 20 and younger.
Initial eyeglasses for children age 20 and younger are covered for CHPW members through the Washington Health Care Authority (HCA). You can ask your primary care doctor to refer you to a vision specialist for your child, or you can use our provider search tool to find one.
Glasses benefit for adults
As an added benefit for our members, CHPW offers eyeglasses to members 21 and over.
To learn more about this benefit, go to our Free Eyeglasses page.
Medically necessary exams and surgeries
Sometimes, your eye care needs go beyond routine checkups and vision hardware. CHPW covers these services as well:
- Eye exams to diagnose and treat a medical condition
- Eye surgery for medical conditions such as glaucoma, retinal detachment, and cataracts
- Vision therapy
Find a CHPW network provider near you with our provider search tool.
Prior authorization may be required. To learn if a service needs prior authorization, talk to your doctor. You can also call Customer Service at 1-800-440-1561 (TTY Relay: Dial 711) Monday through Friday, from 8 a.m. to 5 p.m.
