Are Scleral Lenses Covered By Insurance?

Are Scleral Lenses Covered By Insurance? Scleral lenses are large, rigid gas permeable contact lenses designed to rest on the white of your eye. They offer relief from several conditions like Keratoconus and severe dry eye syndrome.

Scleral lenses require significant training from optometrists, expensive equipment and multiple visits in order to find an ideal fit, thus leading to higher professional fees associated with fittings of these lenses.


Scleral lenses are custom-made contact lenses designed to rest on the white portion of your eye known as the sclera instead of your cornea, providing both stability and durability while their unique design helps shield from dirt, dust, and debris. Scleral lenses are especially suited to hard-to-fit eyes such as those suffering from Keratoconus or irregular corneal conditions like Keratosis; however they may also help treat severe dry eye syndrome caused by Sjogren’s syndrome.

Are Scleral Lenses Covered By Insurance? Most vision and medical insurances will cover scleral lenses, including fitting fees and materials. Medicare does not typically cover this option, though if a qualified eye care professional determines they are medically necessary for an individual, Medicare might provide coverage. In such cases, documentation from their physician must be submitted as evidence.

This requires both a valid prescription and doctor’s note from your healthcare provider, along with details about their medical history and current symptoms/signs. They must also obtain a detailed patient assessment from the patient as well as review all relevant eye care records; in addition to this they must undergo an eye exam with their ophthalmologist or optometrist treating for the condition that requires scleral lenses.

Giant Papillary Conjunctivitis (GPC), more commonly referred to by its acronym GPC, can be an uncomfortable and disfiguring condition that affects both adults and children alike. Wearing scleral lenses can reduce discomfort caused by GPC by allowing tears to reach affected areas more readily.

Keratoconus Scleral lenses may significantly improve vision for those suffering from Keratoconus, an eye condition in which the cornea becomes misshapen and bulges outwards. Furthermore, they may help stop further progression of disease while potentially helping avoid surgery altogether.

Scleral Lenses Can Ease Dry Eye In comparison with soft or hard contact lenses, which may rub against the cornea and rub off onto it during wear, scleral lenses offer greater stability on eye surfaces due to their larger size and provide a reservoir for saline solution that relieves dry eye symptoms. Scleral lenses may also be beneficial for patients suffering from Sjogren’s Syndrome or similar autoimmune diseases that cause dry eye symptoms.

Scleral lenses may be costly, but they can be highly beneficial in treating conditions like gout, Sjogren’s syndrome and other inflammatory diseases that lead to severe dry eye symptoms. Schedule an appointment at Global Vision Rehabilitation Center now if you want to learn more about scleral lenses and their potential benefits! We use advanced equipment like Eye Print Pro and Wavefront Aberrometer for comprehensive eye examinations. We can then use this information to assess if scleral lenses will provide the optimal vision results. If you decide to proceed with the fitting process, we’ll schedule regular follow-up appointments so we can monitor how your lenses and eyes respond and ensure their optimal function for maximum benefits at minimal out-of-pocket costs.