I’m on a roll. In my last post, I wrote about how hard it is
to get a wheelchair. This time, it’s
glasses.
I wrote in my last
post about learning that, with my publicly funded insurance, I can get one
wheelchair, either manual or power, every 7 years (or is it 5?). Never mind
that I’ve had my manual chair for about 20 years, and never mind that it’s
critical I have a reliable, not-too-old power wheelchair. I am eligible only for one or the other.
Last week, I
learned that the situation is even worse
when it comes to eye glasses.
I suspected again
when I went to my eye doctor a couple weeks ago after more than 2 years that
the place is too high-end (too Claremont!) for me. Sure enough, I ended up with
a co-pay for my exam – no, they don’t take Medi-Cal – and they don’t take my
supplemental insurance, VSP (through HealthNet), for glasses. After taking the
prescription, I went to a place that takes VSP and was told that VSP only
covers 20% of the cost of lenses and frames.
And, no, the place doesn’t take Medi-Cal.
I was frustrated
and alarmed and made further inquiries.
This is what I learned: even if I find a place that takes it, Medi-Cal
only pays for an exam every 2 years. And
that’s it. Medi-Cal doesn’t pay for
glasses.
In what world does
this make sense? The question I have is
why bother with the exam? Why does
Medi-Cal pay for an exam when it won’t pay to remedy a problem that is
found?
Isn’t this a
definition of cruelty?
As with
the wheelchair, I am fortunate in that I am not completely reliant on this
insurance. What about people who are,
and what about those who, God forbid, only have Medi-Cal? Is seeing and reading really not that
important? Perhaps this is why many poor
people don’t vote – they can’t see to read to get information about what’s
going on.
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