Eyeglasses

[hayley3]

I am trying to find the regulations that apply to eyeglasses.

My VA eye dr prescribed two pairs of glasses, one for distance and one for reading, and I received a denial letter from Prosthetics, and I'm just wondering what the regulations said so maybe I could fight it.

I'm also looking for the regulations that talk about emergency care, if you happen to know where that is.

Thanks,

Susie

[jbasser]

You are eligible for hearing aids and eyeglasses if you

receive increased pension for regular aid and attendance or being permanently housebound, or

receive compensation for a service-connected disability, or

are a former prisoner of war, or

received a Purple Heart medal

Otherwise, hearing aids and eyeglasses will be provided only in special circumstances, and not for normally occurring hearing or vision loss.

At 50 percent you are entitled ot eyeglasses.

Call your patient rep and complain. They can cut the red tape. If you are entitled to a benefit and it was prescribed by a VA doc then they should fill the script.

[hayley3]

I received one pair, it is the second pair that they are denying.

It says "we were unable to determine that you are eligible for a second pair of glasses. There is no medical indication for such per Dr Vaghei's note".

So what does he need to say? That's my question.

Susie

[carlie]

I am trying to find the regulations that apply to eyeglasses.

My VA eye dr prescribed two pairs of glasses, one for distance and one for reading, and I received a denial letter from Prosthetics, and I'm just wondering what the regulations said so maybe I could fight it.

Susie

1 pair for distance and 1 pair for reading = Total combined of 1 pair of bifocals.

If for some reason you told the doc you didn't want a bifocal, then that's why the script

was written as you have posted. In order for VA to fill the script as 2 pair then the

doc will have to put a medical reason that you can not wear bifocals.

I am a Licensed Dispensing Optician and feel sure this is the reason for being turned

down for 2 pair as there is no other logical explanation.

jmho,

carlie

[Teac]

Handbook 1173. 12 answers this question completly.

I have attached a PDF copy:

Handbook_1173.5_Aids_for_the_blind.pdf

[Teac]

sorry I uploaded the wrong handbool

here is the correct one:

Handbook_1173.12_Prescription_Optics_and_Low_Vision_Devices.pdf

[william n]

1 pair for distance and 1 pair for reading = Total combined of 1 pair of bifocals.

If for some reason you told the doc you didn't want a bifocal, then that's why the script

was written as you have posted. In order for VA to fill the script as 2 pair then the

doc will have to put a medical reason that you can not wear bifocals.

I am a Licensed Dispensing Optician and feel sure this is the reason for being turned

down for 2 pair as there is no other logical explanation.

jmho,

carlie

carlie..can we receive script sunglasses in Fla.?? Thanks, William n