Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 1/5
Under the ACA, adult vision coverage in a non-grandfathered individual plan is:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Like adult dental, adult vision is not among the ten essential health benefit categories under the ACA. Only pediatric vision services must be covered in non-grandfathered individual and small group plans. Adult eye exams and eyeglass coverage are therefore optional and may be offered by carriers as riders or separate products. This distinction, tested under AH-III.A.1c, requires candidates to remember that the mandatory vision requirement applies to children only.
Why the other options are wrong
- B) Vision is an EHB only for children under age 19; adult vision is not mandatory.
- C) There is no federal requirement that optional vision products be limited to contact lens fittings.
- D) Medicare Advantage plans may offer vision as an extra benefit, but adult vision coverage is not restricted to them.
Memory hook
Vision is a required EHB only for kids; adults get an option, not a mandate.