You may be wondering: does Medicare cover vision care? Well, it depends on the type of care you need and your Medicare coverage.
Original Medicare (Parts A & B) typically does not cover routine eye exams, eyeglasses, or contact lenses. Medicare does, however, cover certain eye services when they are medically necessary or when you qualify for specific screenings.
Does Medicare Cover Eye Exams?
Original Medicare generally does NOT cover routine eye exams for glasses or contact lenses. However, Part B does cover certain exams, including:
- Glaucoma screenings for those at high risk
- Diabetic retinopathy exams for eligible individuals with diabetes
- Certain exams related to medical eye conditions
Does Medicare Cover Glasses?
Medicare generally does NOT cover routine eyeglasses or contact lenses.
There is one exception, however. Medicare Part B covers one pair of standard eyeglasses or one set of contact lenses following cataract surgery that includes an intraocular lens.
Does Medicare Cover Cataract Surgery?
Medicare Part B may cover medically necessary cataract surgery. After the Part B deductible, you typically pay 20% of the Medicare-approved amount for covered services.
Does Medicare Supplement Cover Vision?
Medicare Supplement insurance can help cover the 20% of Medicare-approved costs that you may be responsible for after Original Medicare pays its share. However, it generally does not cover routine vision services, such as eye exams for eyeglasses or contact lenses, that Original Medicare does not cover.
The Bottom Line
Original Medicare (Parts A & B) covers many medically necessary eye services, but things like routine vision care are generally not included.
If you are unsure what your plan does and does not cover, it is always a good idea to speak with an insurance agent to clarify.
On the topic of vision, want to know how to keep your eyes healthy? Check out this article about protecting your eyes from blue light: Protecting Your Eyes from the Dangers of Blue Light – Empower Health Insurance
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