Yale Health

Frequently Asked Questions

Are eye exams covered by Yale Health?

Yes.  Routine eye exams are covered for Yale Health members and students with Hospitalization/Specialty Care coverage.

Please note:

  • The department does not perform exams for contact lenses.

  • Neither contact lenses nor eyeglasses are covered by any Yale Health insurance.

  • Medicare does not cover the refraction fee for an eyeglass prescription. If you are a Medicare patient, you will be billed for this service and will be responsible for the payment.

What do I need to know about my complete eye exam?

You should remove your contact lenses prior to your appointment and bring your eyeglasses with you.  Your eyes may be dilated during the exam and may remain blurry or sensitive to light for up to a few hours.

Are glasses covered by Yale Health?

No. The purchase of glasses is an out-of-pocket cost for the patient.

I was referred to an outside Ophthalmology/Optometry provider. Can I just keep seeing this person?

No.  When referred out to another provider, you must come back to Yale Health for follow up care.

Can I purchase contacts in a store, or online with my eyeglass prescription?

No. The eyeglass prescription needs to be brought to someone certified to conduct your contact lens fitting.

Are contacts or the contact lens exam covered by Yale Health?

No. These are out-of-pocket costs for the patient. We do not measure, fit, or evaluate for contact lenses.  Our staff can assist with locating an area provider.

I am a student and I waived Yale Health Hospitalization/Specialty Care coverage. Can I be seen in the Ophthalmology/Optometry Department?

No.  Waived students are not seen in this department. Students who waived Yale Health Hospitalization/Specialty Care coverage need to seek services from providers who accept their insurance.

What if I have a problem that cannot be managed at the Yale Health Center?

Referrals to Yale Eye Center for problems that cannot be managed at Yale Health require authorization from our Referrals Department. The Eye Center will contact the patient directly to schedule appointments.

Does Medicare cover the refraction fee for eyeglasses?

A refraction is the part of an eye examination that determines the best possible level of vision through optical lens correction, such as glasses.

Medicare does not cover refractions. Medicare only covers medical services related to diseases or illness. Because refractions address focusing errors of the eye (which Medicare does not regard as disease or illness), Medicare does not cover refractions.

If you are a Medicare patient, you will be billed for this service and will be responsible for the payment.