MetroPlusHealth Medicaid Covers Your Vision and Dental Care
If you're a MetroPlusHealth Medicaid member in Brooklyn, you already have vision and dental benefits built into your plan — and you probably didn't realize it. MetroPlusHealth Medicaid managed care plans include coverage for eye exams, glasses, and dental care at no additional cost beyond your plan premium. That means you can visit an optometrist on Avenue U, get your eyes checked, and walk out with frames, all covered. No separate enrollment. No waiting period. Just bring your MetroPlusHealth card.
The coverage is straightforward, but understanding exactly what's included can save you time and money. This guide breaks down your MetroPlusHealth Medicaid vision and dental benefits, what Vision Palace Optical accepts, and how to schedule your appointment.
What MetroPlusHealth Medicaid Covers for Vision
Your MetroPlusHealth Medicaid plan includes routine eye exams, eyeglasses, and contact lenses. Here's what that actually means on the ground in Brooklyn.
Comprehensive eye exams are covered once per year. Your optometrist will evaluate your vision, check for eye disease, measure for glasses or contacts, and screen for conditions like glaucoma or diabetic retinopathy. At Vision Palace Optical on Avenue U, we accept MetroPlusHealth Medicaid for these exams. Coverage varies by plan — call us or book through Zocdoc to verify your benefits before your visit.
Eyeglasses are covered once per plan year. You get an allowance toward frames and lenses, which means you can choose from our full collection of designer frames — Ray-Ban, Dita, Gucci, Prada, Tom Ford, and more — or pick something practical and affordable. The allowance covers single-vision, progressive, and specialty lenses like Transitions photochromic lenses or blue light lenses for kids and adults.
Contact lenses are also covered if you need them. We do contact lens fittings for daily, monthly, toric, and multifocal prescriptions. Your MetroPlusHealth allowance applies here too. Coverage varies by plan — call us or book through Zocdoc to confirm your specific limits.
The key thing to remember: MetroPlusHealth Medicaid doesn't make you jump through hoops. You come in, we verify your coverage at check-in, and you pay nothing out of pocket for the exam and glasses. It's that simple.
MetroPlusHealth Dental Coverage: What's Included
Your MetroPlusHealth Medicaid plan also includes dental coverage. While you're on Avenue U getting your eyes checked, you can arrange dental care through your plan's network. According to MetroPlusHealth, dental benefits typically include preventive care like cleanings, exams, and X-rays, plus basic restorative work.
Coverage varies by plan — call MetroPlusHealth directly or ask us at your eye exam. Many of our patients in Sheepshead Bay, Gravesend, and Brighton Beach have MetroPlusHealth, and they appreciate having vision and dental in one plan.
How to Use Your MetroPlusHealth Medicaid Benefits at Vision Palace Optical
Using your MetroPlusHealth vision benefits is simple. Here's the process.
Step 1: Bring your MetroPlusHealth card. When you arrive for your eye exam, just show us your Medicaid card. We'll verify your coverage at the front desk.
Step 2: Get your eye exam. Dr. Julia Sheyko or Dr. Alexander Shlivko will perform your comprehensive eye exam. We'll check your vision, evaluate your eye health, and discuss whether you need glasses, contacts, or any other care.
Step 3: Choose your frames. After your exam, browse our designer eyewear collection or pick from our affordable options. Your MetroPlusHealth allowance covers both. We carry Ray-Ban, Dita, Gucci, Tom Ford, Prada, Silhouette, and many others.
Step 4: Get your glasses. We'll fit your lenses and make sure everything sits right on your face. No waiting, no bills.
That's it. No forms to fill out. No prior authorization needed for routine exams and glasses.
MetroPlusHealth Plans in Brooklyn: What You Should Know
MetroPlusHealth offers multiple Medicaid managed care plans in New York, and several serve Brooklyn directly. Whether you're on a standard Medicaid plan, a plan for pregnant women, or a plan for people with disabilities, vision and dental benefits are included.
The coverage levels are the same across most MetroPlusHealth Medicaid plans: one eye exam per year and one pair of glasses per year. Some plans may offer slightly different allowances for frames or contact lenses, so it's worth asking. Coverage varies by plan — call us at (718) 998-8400 or verify your coverage before your visit.
One thing Brooklyn families appreciate about MetroPlusHealth: it's affordable. Many MetroPlusHealth Medicaid members pay zero premiums, zero deductibles, and zero co-pays for in-network services. That means your eye exam and glasses cost you nothing.
Why Choose Vision Palace Optical for Your MetroPlusHealth Benefits
We've been on Avenue U in Sheepshead Bay for over 30 years. We accept MetroPlusHealth Medicaid, along with Fidelis Care, 1199SEIU, Medicare, EyeMed, and most other major plans. Our optometrists, Dr. Julia Sheyko and Dr. Alexander Shlivko, speak English and Russian, and we work with patients from all over Brooklyn — from Gravesend to Marine Park to Bensonhurst.
We don't rush you. We don't upsell you. We just make sure your eyes are healthy and that you walk out with glasses you actually like wearing.
Frequently Asked Questions
Does MetroPlusHealth Medicaid cover my eye exam? Yes. Your MetroPlusHealth Medicaid plan covers one comprehensive eye exam per year at no cost to you. Coverage varies by plan — call us or book through Zocdoc to verify your benefits before your visit.
What if I need glasses and contacts? Your MetroPlusHealth allowance typically covers either a pair of glasses or contact lenses once per year, but not both. You'd choose which one. If you need both, you can use your allowance for glasses one year and contacts the next, or ask your plan about options for both.
Do I need to get prior authorization before my eye exam? No. Routine eye exams don't require prior authorization with MetroPlusHealth. Just call or book online, and bring your Medicaid card.
Can I get prescription sunglasses or special lenses like Transitions? Special lenses like Transitions photochromic lenses are often covered as part of your allowance. Prescription sunglasses depend on your plan. Ask us when you call to schedule, or we'll check during your visit.
What if I want designer frames? Your MetroPlusHealth allowance applies to any frames we have in stock, including our designer eyewear collection. If the frames cost more than your allowance, you can pay the difference out of pocket. Many patients do because they love the brands we carry.
How often can I get new glasses with MetroPlusHealth? Once per calendar year. After your exam, if you've already used your glasses benefit earlier in the year, you'd need to wait until the new year or pay out of pocket for another pair.
References
- MetroPlusHealth — Medicaid Managed Care Plans. Medicaid health insurance coverage in New York.
- MetroPlusHealth — What Does MetroPlusHealth Dental Coverage Cover?. Dental benefits information for members.
- MetroPlusHealth — Your Questions about Health Insurance, Answered. Frequently asked questions about coverage and benefits.
Book your eye exam at Vision Palace Optical and use your MetroPlusHealth Medicaid benefits. Book through Zocdoc, get in touch, or call us at (718) 998-8400. We're at 1723 Avenue U in Brooklyn, open Monday through Saturday. We accept MetroPlusHealth Medicaid, along with Fidelis Care, 1199SEIU, Medicare, and most other major plans.