PDFWAC 388-473-0080
Medically related items or services as an ongoing additional requirement.
(1) We authorize the following benefits as a one-time payment within a 12 month period:
(a) Dentures;
(b) Optometrist visit for eye glasses;
(c) Eye glasses;
(d) Hearing aids.
(2) Benefits are issued after we determine:
(a) You did not qualify for the service or item from any state, federal, or private insurance coverage; or
(b) You have been unable to obtain a replacement through state, federal, or private insurance.