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 your regular vision checkups.
Learn about Community Health Plan of Washington’s (CHPW) vision benefits for adults and children.
Regular eye exams for kids and adults
Your regular eye exams are covered under your CHPW plan. That means you don’t have a copay for them.
You can ask your doctor to refer you to a vision specialist, or you can use our provider search tool and refer yourself.
Routine eye exams covered by CHPW:
- Adults (age 21 and older): One eye exam every two years.
- Kids (age 20 and younger): One eye exam every year.
Eyeglasses and eyeglass repair for kids
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 State Health Care Authority (HCA). Adults can also find discounted eyeglasses on the HCA website. Learn more about vision services provided by the HCA.
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
Prior authorization may be required. To learn if a service needs prior authorization, talk to your doctor. You can also call Member Services at 1-800-440-1561 (TTY Relay: Dial 711) Monday through Friday, from 8 a.m. to 5 p.m.