Medi-Cal relies on prison-made eyeglasses. Are delays and defects worth the cost?

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Medi-Cal relies on prison-made eyeglasses. Are delays and defects worth the cost?
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To dodge hefty costs for eyewear, California’s health insurance program for low-income people, Medi-Cal, has an innovative strategy. It contracts exclusively with the state’s prisons, and inmates make glasses for its beneficiaries.

of 171 of its members in March, the California Optometric Assn. found that 65% of respondents had experienced waits of one to three months for glasses ordered for Medi-Cal patients. In comparison, the survey found that the average turnaround time for glasses from private labs was less than 15 days.

To speed up fulfillment of Medi-Cal glasses orders, Kane said, CALPIA contracts with nine “backup” labs. Five are in states outside California. Of the 880,400 orders the prison authority received last year, 54% were sent to the contracted private labs, Kane said. These labs send the glasses to CALPIA, which then mails them to the clinics that ordered them.

The measure is a “response to the shocking disparity in the level of optical care that the state provides to some of its most vulnerable residents,”But it has a big price tag.

The day after his release, Martinez got a license from the American Board of Opticianry to manufacture and sell glasses. A month later, he was hired as a lab technician at a LensCrafters in Los Angeles and was eventually promoted to lab manager. By 2020, he had helped open three other eyeglasses stores across the state.

, a pediatric optometrist at UC San Francisco, said that in addition to experiencing long turnaround times, she has received many glasses for Medi-Cal patients that were broken.Clarice Waterfield, 64, who lives in Paso Robles, had trouble with her order.

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