Get the free Medically Necessary Contact Lens Prior Approval Form

Received by Davis Vision PRIOR APPROVAL / MEDICALLY NECESSARY SERVICES REQUEST FORM Submit To: Toll Free Fax 1-800-584-2329 Questions? Call: 1-800-328-4728 x6811 IMPORTANT: PLEASE VERIFY MEMBER BENEFIT

How to fill out medically necessary contact lens

How to fill out medically necessary contact lens:

1. Start by washing your hands thoroughly with soap and water. It is crucial to maintain good hand hygiene to avoid introducing any bacteria or foreign objects into your eyes.
2. Carefully remove the contact lens from its case using a sterilized lens applicator or your fingertips. Be gentle and avoid touching the inner surface of the lens.
3. Before inserting the lens, inspect it for any tears or defects. If you notice any damage, discard the lens and use a new one.
4. Place the lens on the tip of your index finger, making sure it is the correct side up. Tilt your head back slightly and use your other hand to gently pull down your lower eyelid.
5. While looking up, gently place the lens on your eye's cornea, the transparent front part. Slowly release your lower eyelid and blink a few times to center the lens properly.
6. Repeat the process for the other eye, ensuring that you use a new and clean lens applicator or sanitize your hands before handling the second lens.
7. After successfully inserting both lenses, close your eyes for a moment to allow them to settle properly. Then, gently blink a few more times to ensure the lens is comfortable and in the right position.
8. If your lenses require cleaning or disinfecting, follow the specific instructions provided by your eye care professional. Failure to properly care for your lenses can increase the risk of eye infections or other complications.

Who needs medically necessary contact lens:

1. Individuals with certain eye conditions, such as keratoconus, irregular astigmatism, or corneal scarring, may require medically necessary contact lenses. These conditions can significantly affect visual acuity and cannot be adequately corrected with traditional eyeglasses or standard contact lenses.
2. People who have undergone certain eye surgeries, such as corneal transplant or refractive surgeries like LASIK or PRK, may also require medically necessary contact lenses as a part of their post-operative care.
3. Additionally, individuals with severe dry eye syndrome or a high sensitivity to the materials used in regular contact lenses might need medically necessary lenses that offer enhanced comfort and improved moisture retention.

It's important to consult with an eye care professional to determine whether medically necessary contact lenses are suitable for your specific eye condition and needs.

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What is medically necessary contact lens?

Medically necessary contact lenses are prescribed by a physician to treat specific vision conditions or eye health issues that cannot be corrected with regular glasses.

Who is required to file medically necessary contact lens?

Patients who have been prescribed medically necessary contact lenses by a physician are required to file for coverage with their insurance provider.

How to fill out medically necessary contact lens?

To fill out a medically necessary contact lens form, patients need to provide their personal information, prescription details, and a letter of medical necessity from their physician.

What is the purpose of medically necessary contact lens?

The purpose of medically necessary contact lenses is to improve vision and address specific eye health issues that cannot be corrected with regular glasses.

What information must be reported on medically necessary contact lens?

Patients need to report their personal information, prescription details, their physician's information, and a letter of medical necessity when filing for medically necessary contact lenses.