The Affordable Care Acts requirement that qualified health plans offer pediatric vision insurance coverage affords benefit advisers an opportunity to talk to employers about vision insurance from a broader lens. This benefit can not only close gaps in adult vision care coverage but also aid employer clients with attracting and retaining employees.
The ACA designates pediatric vision services as one of the 10 essential health benefits that all qualified health plans need to offer if they intend to sell on the public health insurance exchanges available for individuals and small-group employers to shop for coverage. This means that as of January 2014, all small employers with 50 or fewer employees must provide pediatric vision care coverage embedded in a medical benefit for children up to age 19, or face a penalty. In January 2016, this will extend to individual and small groups with 100 or fewer employees.
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