Does West Virginia Medicaid Cover Vision? In West Virginia, 29 percent of the population is covered by Medicaid services. This means that over 560,000 people rely on Medicaid for their health care coverage in this state.
Medicare Benefits Solutions
Sep 14, 2021
Eligibility for Medicaid depends on the income and number of people in a household. For example, in West Virginia, a single person making no more than $16,612.00 per year qualifies for coverage. Also, a family of eight with an annual income of no more than $57,762.00 qualifies.
People who don’t meet the required income criteria can still qualify for Medicaid if they spend enough on healthcare services to meet the income levels. This is known as the spend-down program, and it especially benefits the elderly, blind, and disabled.
If you don’t meet the financial requirements mentioned above, you may still be qualified as a dual-eligible beneficiary. This means that you can get health care coverage from your Medicare benefits and from Medicaid services together.
Those who are over 65, or have ALS, or have end-stage renal disease, or have been getting Social Security Disability Income benefits for 25 months may qualify for dual eligibility. Dual-eligible beneficiaries typically have access to a special enrollment period when they can enroll in a D-SNP (dual-eligible special needs plan) anytime during the year.
Adults who have Medicaid coverage alone in the state have the following limited vision care allowances:
Dual-eligible Special Needs Plans (D-SNPs) are special Medicare Advantage plans that include benefits for individuals with Medicare and Medicaid. They will include Part A and Part B coverage along with additional benefits such as dental, vision, and hearing care. These plans are available to people who meet low-income or health-condition requirements and have little, or no, monthly costs for beneficiaries.
Because D-SNPs are sold by private insurance companies, additional benefits vary from plan to plan.
Generally, the vision care services that are covered by a D-SNP in West Virginia are:
If you live in West Virginia and qualify for Medicaid alone, or as a beneficiary who is eligible for both Medicare and Medicaid coverage, you may have access to routine vision care services.
Call a licensed sales agent at
Compare your current Medicare plan to our recommendations – then choose the plan that gives you more of the things you want.