How To Find a Low Vision Doctor

By Liz Segre; updates by Dr. Gary Heiting

Many people with low vision already have an eye doctor who is treating them for an eye disease such as macular degeneration, glaucoma or retinitis pigmentosa.

If you are visually impaired due to one of these diseases or because of an eye injury or other problem, ask your eyecare professional about magnifiers and other low vision devices that can help you read and function independently.

If your doctor doesn't specialize in low vision, he or she may have only a limited knowledge of the many choices that exist in low vision aids. You may need to ask for a referral to a low vision specialist who can prescribe low vision devices and train you to use them in everyday situations.

One source that can help you find a low vision doctor is Lighthouse International. You can call them at 800-829-0500 (select option for "Information") or you can e-mail them at info@lighthouse.org.

In the Yellow Pages, look under "optometrists" and "ophthalmologists." Practitioners who specialize in low vision usually say so in their listing.

On the web, the Internet Low Vision Society has a directory of specialists. And if you search on the web using the key words "low vision," you'll find several regional sources. For example, specialists in the Maryland/Virginia/D.C. region are listed on The Low Vision Information Center's website.

If your eyecare practitioner is not a low vision specialist, ask for a referral to someone who is.

Eyecare practitioners who specialize in low vision teach vision-impaired patients how to use low vision devices such as magnifiers and video magnifying systems. They also prescribe special low vision lenses, such as magnifying bifocals.
 

Who Pays for Low Vision Devices
and Services?

Once you find a low vision specialist, who pays for their services and the low vision devices recommended? In most cases, you do.

Currently, Medicare provides only limited coverage for low vision services and visual aids. Unfortunately, future coverage for low vision devices may be denied completely.

In 2006, the federal government's Centers for Medicare and Medicaid Services (CMS) proposed denying coverage for all devices "that use one or more lenses to aid vision or provide magnification of images for impaired vision."

At this time, CMS is reviewing public comments received on the proposal.

But there is some good news regarding Medicare coverage for low vision services. The current once-in-a-lifetime benefit of up to 90 days for vision rehabilitation services will be allowed yearly beginning April 1, 2008.

In addition, the number of hours of Medicare-covered vision rehabilitation services will increase from nine hours to 12 hours. (For the latest information on Medicare and Medicaid coverage for low vision aids and services, visit the Department of Health and Human Service's CMS website.)

When Congress created Medicare in 1965, it excluded from coverage certain items that were considered routine and low cost, including eyeglasses.

But many low vision devices today cost hundreds of dollars. Some, including closed-circuit television (CCTV) and computerized magnification systems, can cost thousands.
 

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Some nonprofit groups, including Lighthouse International, will provide low vision aids to qualified individuals free of charge or at reduced pricing, depending on the patient's needs and financial situation.

EyeCare America, a public service foundation of the American Academy of Ophthalmology (AAO), provides another option. EyeCare America has several programs designed to meet the needs of those who don't have eyecare insurance. Qualifying individuals will receive a comprehensive eye examination and treatment for up to one year, at no cost.

To find out more about EyeCare America's programs, call 800-222 EYES (3937). If you are eligible, you will receive the name of a volunteer doctor in your community, along with instructions for making an appointment.

Some health insurance plans do provide limited coverage of low vision devices and services. Check with your insurance company to see if yours is one of them.

[Page updated December 2007]

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