LENSES AND ADDITIONS
Benefit Code Number
630280
Program of Choice
14 - Vision (eye) care
Province
Alberta
Recommender Required
No
Limit
$400.00/2CY
Provincial Coverage
No
Comments
SEE NOTE 10
Notes
GENERAL NOTES IF THE BENEFIT GRID SPECIFIES A SPECIALIST, ONLY THAT SPECIALIST IS ACCEPTED. SHOULD "MD" BE INDICATED, THE SERVICE MAY BE PRESCRIBED/RECOMMENDED BY A GENERAL PRACTITIONER OR ANY MEDICAL SPECIALIST. COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". PRESCRIPTION IS VALID FOR 2 YEARS. SPECIAL NOTES PAYMENT CONDITIONS NOTE 10 - EYE EXAMINATIONS:ELIGIBLE OVER AND ABOVE THE FREQUENCY LIMIT WHEN:1)THE CLIENT IS SUBSEQUENTLY REFERRED FOR AN ASSESSMENT BY A PHYSICIAN 2)CLIENT EXPERIENCES A SUDDEN DECREASE IN VISION IN ONE EYE. SOME CONDITIONS WHERE THIS OCCURS INCLUDES:CENTRAL RETINAL ARTERY/VEIN OCCLUSION,RETINAL DETACHMENT,RETROBULBAR NEURITIS,OPTIC NERVE TRAUMA, CENTRAL SEROUS RETINOPATHY HAEMORRHAGES OF VARIOUS ETIOLOGY, PRODROMAL AURA OF MIGRAINE 3)CLIENT HAS A MEDICAL CONDITION SUCH AS CATARACTS, POST-OPERATIVE CATARACT SURGERY CASES, MACULAR DEGENERATION AND PROGRESSIVE MYOPIA OR 4)CLIENT PRESENTS WITH A SHARP PAIN IN ONE EYE OR HAS A RED EYE. CAUSATIVE FACTORS FOR THIS ACUTE PAIN COULD RANGE FROM A SIMPLE FOREIGN BODY TO ANGLE CLOSURE.