MetroPlus Eye Exams in Brooklyn: What You Need to Know
If you have MetroPlus coverage, you're entitled to vision care benefits as part of your health plan. Getting an eye exam at Vision Palace Optical on Avenue U in Sheepshead Bay is straightforward, and we accept MetroPlus at our practice. Coverage varies by plan - call us or book through Zocdoc to confirm your benefits before your visit. We'll help you understand what's covered so there's no surprise at checkout.
MetroPlus is one of New York City's largest Medicaid managed care plans, and it includes vision services for members across Brooklyn, Queens, and Manhattan. Whether you're in Sheepshead Bay, Brighton Beach, Gravesend, or Marine Park, your MetroPlus coverage works the same way. Our optometrists, Dr. Julia Sheyko and Dr. Alexander Shlivko, have been serving Brooklyn families on Avenue U since 1995, and we know the MetroPlus system inside and out.
What MetroPlus Vision Coverage Includes
On MetroPlusHealth's Medicaid Managed Care plan, the member handbook says eye exams are covered generally every two years, unless medically needed more often, and members diagnosed with diabetes can self-refer for a dilated retinal exam once in any 12-month period. That follows New York Medicaid's rule in the eMedNY Vision Care Manual. MetroPlusHealth's Medicaid plan page says there is no copay for covered benefits (as of October 2026). If you have a different MetroPlus plan, how often your plan covers exams and eyewear depends on your plan. The exam covers evaluation of your eye health, vision screening, and assessment for common conditions like dry eye, glaucoma, and retinal disease.
On the Medicaid plan, the same handbook lists glasses with a new pair of Medicaid-approved frames every two years, or more often if medically needed. Under New York Medicaid rules the benefit can't be applied toward a more expensive frame with you paying the difference; a frame outside the benefit is a separate private purchase. Other MetroPlus plans set their own eyewear rules. Our staff will explain your exact benefit before you select frames.
On the Medicaid plan, the handbook says contact lenses can be covered when they are medically necessary. If your doctor finds contacts are medically necessary for an eye condition, we can perform the fitting and bill MetroPlus directly. Coverage varies by plan - call us or book through Zocdoc to verify your specific benefits.
How to Book Your MetroPlus Eye Exam on Avenue U
The easiest way to schedule is through Zocdoc. Enter your MetroPlus plan information when you book, and we'll verify your benefits before your appointment. You can also call us at (718) 998-8400 to speak with our team directly - we're bilingual in English and Russian, and Spanish-speaking staff are available too.
Walk-ins are welcome at Vision Palace Optical, especially if you need a quick DMV vision test or want to browse our designer frame collection. For a comprehensive eye exam, booking ahead gives us time to pull your coverage details and prepare your exam room.
When you come in, bring your MetroPlus insurance card. Our optometrists will perform your exam and discuss any treatment or eyewear recommendations. If you need new glasses or contacts, we'll work with your plan to maximize your benefit and discuss any out-of-pocket costs upfront.
Understanding Your MetroPlus Eye Exam Benefit
According to the American Academy of Ophthalmology, adults should have a comprehensive eye exam at least once every two years, and more frequently if they have risk factors like diabetes, hypertension, or family history of eye disease. On MetroPlus's Medicaid plan, an exam is covered generally every two years, or more often when medically needed, which fits this guidance.
Your MetroPlus eye exam includes:
- Visual acuity testing (how clearly you see)
- Refraction (determining your prescription)
- Eye pressure screening (important for glaucoma detection)
- Retinal health evaluation
- Assessment for dry eye, allergies, and other conditions
If Dr. Sheyko or Dr. Shlivko identifies a condition that needs treatment or further monitoring, they'll explain your options. Many conditions can be managed with appropriate eyewear, lens technology, or follow-up care - all covered by MetroPlus if deemed medically necessary.
The National Eye Institute emphasizes that regular eye exams catch serious conditions early, often before symptoms appear. Glaucoma, diabetic retinopathy, and age-related macular degeneration don't always announce themselves - but a regular exam does.
MetroPlus & Specialty Lenses
MetroPlus covers standard single-vision and bifocal lenses. If your exam reveals that you'd benefit from progressive lenses (no-line bifocals), photochromic lenses, or blue light blocking technology, you can add these as upgrades. The cost of upgrades is typically your responsibility, though some MetroPlus plans may cover certain lens treatments if they're medically necessary.
For children ages 6 and up with MetroPlus, our myopia control lens option is designed to slow the progression of nearsightedness. Ask Dr. Sheyko or Dr. Shlivko if your child is a candidate. This is especially valuable if you have a family history of myopia or if your child spends significant time on screens.
Anti-reflective coating reduces glare and reflections on your lenses, making them clearer and more comfortable. This is popular with people who work on computers or drive frequently. While not always covered by MetroPlus base plans, many members find the investment worthwhile for the improved visual clarity.
Why Choose Vision Palace Optical for Your MetroPlus Exam
We've been on Avenue U in Sheepshead Bay for 30 years, serving immigrant families and multi-generational Brooklyn households. We speak English, Russian, and Spanish, and we understand the neighborhoods we serve. Whether you're coming from Marine Park, Gravesend, or Bensonhurst, you'll find a welcoming practice with experienced optometrists who take time to explain your eye health in plain language.
Dr. Julia Sheyko specializes in anterior and posterior segment disease, contact lens fitting, and pre/post-operative eye care. Dr. Alexander Shlivko brings personalized, comprehensive care to every patient. Both doctors are highly experienced with MetroPlus and other Medicaid plans, and they prioritize getting you the right prescription and eyewear - not the most expensive option.
We accept MetroPlus alongside EyeMed, Medicare, Medicaid, Cigna, Aetna, BlueCross BlueShield, Healthfirst, and many others. No matter which plan you carry, we'll work to maximize your benefits and answer questions about costs.
Frequently Asked Questions
Does MetroPlus cover eye exams at Vision Palace Optical?
Yes, we accept MetroPlus. MetroPlusHealth's Medicaid plan page says there is no copay for covered benefits on its Medicaid Managed Care plan (as of October 2026). On other MetroPlus plans, what you pay depends on your plan. Call us or book through Zocdoc to verify your specific benefits before your visit.
How often does MetroPlus cover eye exams?
It depends on your MetroPlus plan. On the Medicaid Managed Care plan, the member handbook says eye exams are covered generally every two years, unless medically needed more often, following New York Medicaid's rule. For other MetroPlus plans, how often your plan covers exams and eyewear depends on your plan. Check your member handbook, or call us and we'll check for you.
What if I want designer frames? Will MetroPlus cover them?
On MetroPlus's Medicaid plan, your benefit covers a selection of Medicaid-approved frames and, under New York Medicaid rules, can't be applied toward a more expensive frame with you paying the difference. A frame outside the benefit is a separate private purchase. On other MetroPlus plans, what's covered for frames depends on your plan. We'll show you what your plan covers, and the cost of anything outside it, before you choose.
Can I use MetroPlus for contact lens fittings?
Yes, if your doctor finds contacts are medically necessary for an eye condition. The fitting exam and lens supply may be covered under your plan. Coverage varies by plan - call us to confirm your benefits.
Do I need a referral to see an optometrist at Vision Palace Optical with MetroPlus?
Most MetroPlus plans don't require a referral to visit an in-network optometrist. However, some plan variations may differ. When you book through Zocdoc or call, we'll clarify whether a referral is needed for your specific plan.
What should I bring to my MetroPlus eye exam?
Bring your MetroPlus insurance card, a valid photo ID, and any previous eyeglass prescription if you have one. If you wear contacts, bring a sample lens or your prescription details. Our team will handle the rest.
Book Your MetroPlus Eye Exam Today
You don't need to wonder about your vision or put off an eye exam because of cost. With MetroPlus, your benefit is ready to use. Book your eye exam at Vision Palace Optical through Zocdoc or call us at (718) 998-8400. We're at 1723 Avenue U in Sheepshead Bay, Brooklyn, open Monday through Saturday. Dr. Sheyko and Dr. Shlivko are here to make sure you see your best.
References
- American Academy of Ophthalmology. Comprehensive Eye Exams and Recommended Frequency.
- National Eye Institute - NIH. Eye Health and Prevention of Vision Loss.