Rule 37.79.322 - EYEGLASS BENEFITS(1) Eyeglasses shall be paid by the department through a single volume purchase contract.(2) An enrollee is limited to one pair of eyeglasses per 365 day period unless additional pairs are necessary due to any of the following circumstances: (b).50 diopter change in correction in sphere;(c).75 diopter change in cylinder;(d).5 prism diopter change in vertical prism;(e).50 diopter change in the near reading power;(f) a minimum of a 5 degree change in axis of any cylinder less than or equal to 3.00 diopters;(g) a minimum of 3 degree change in axis of any cylinder greater than 3.00 diopters;(h) any 1 prism diopter or more change in lateral prism; or(i) the inability of the enrollee to wear bifocals because of a diagnosed medical condition.(3) When the enrollee meets one or more of the conditions in (2) (a) through (2) (i), the enrollee may be allowed two pairs of single vision eyeglasses per 365 day period.(4) Contact lenses are not a covered benefit.Mont. Admin. r. 37.79.322
NEW, 2000 MAR p. 1221, Eff. 5/12/00; AMD, 2004 MAR p. 1027, Eff. 2/13/04.Sec. 53-4-1009, MCA; IMP, Sec. 53-4-1003, MCA;