Short answer
ACA plans include pediatric vision as an essential health benefit, and Medicaid covers exams through EPSDT.
What to Expect at a Pediatric Eye Exam
Pediatric optometrists and ophthalmologists use picture charts, light reflexes and cover tests. They often dilate the pupils (cycloplegic drops) to measure the true prescription. Contact lenses for teens need a separate fitting; see the contact lens exam.
USA Pediatric Eye Exam: Quick Facts
- Newborn
- Red reflex check
- Ages 1–5
- Instrument-based screening
- School age
- Acuity screening; full exam if failed
- Free infant check
- InfantSEE (6–12 months)
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.