Quiz: Covered or Not? 15 Things People Assume Health Insurance Pays For

Item 5 of 15

An eye exam and glasses for a childThe same father’s 9-year-old daughter is on the same Marketplace plan. Her teacher says she is squinting at the board.

Does the health plan pay for her exam and glasses?

Correct. Not quite. The answer flips for children. Pediatric vision care is one of the essential health benefits that Marketplace and small-group plans must include. That generally means a yearly eye exam and a pair of glasses for children under 19, from a standard selection of frames. Pediatric dental care is also an essential benefit, although it may be sold as a separate dental plan. Parents often pay for a child’s glasses themselves without knowing the plan would have covered them.

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