Close  

Does Medicare Cover Glasses?


As we age, our vision tends to deteriorate. By age 65, close to 75% of all people require some kind of vision correction. However, Original Medicare typically does not cover eye exams or glasses.

Find Medicare Plans in 3 Easy Steps

We can help find the right Medicare plans for you today

There are certain situations in which Medicare beneficiaries may receive coverage for glasses or eye exams. Still, they must first meet specific criteria and receive approval through prior authorization. Below, we review these instances and how to receive additional coverage for routine eye exams and glasses.

Does Medicare Cover Glasses and Eye Exams?

Original Medicare (Medicare Part A and Medicare Part B) does not typically provide coverage for glasses or routine eye exams. The Centers for Medicare and Medicaid Services (CMS) does not deem these services medically necessary.

There are few circumstances where Original Medicare will cover glasses, contact lenses, or eye exams. However, do not count on Original Medicare for ordinary vision coverage.

Do Medicare Advantage Plans Cover Glasses?

Medicare Advantage plans provide the highest level of coverage for glasses and eye exams when it comes to Medicare. Keep in mind that not all Medicare Advantage plans offer coverage for glasses and eye exams, and vision benefits vary between plans.

When enrolling in a Medicare Advantage plan with vision benefits, be sure to review the level of coverage before deciding on a plan. Some plans may offer only basic benefits, while others offer more extensive coverage.

It is important to understand the plan’s maximum benefit. All Medicare Advantage plans with vision coverage typically have a maximum benefit for glasses and eye exams. This means once the insurance company exceeds the benefit amount, you will be responsible for 100% of costs for glasses or eye exams.

Do Medicare Supplement Plans Cover Glasses?

Medicare Supplement plans do not offer coverage for glasses or eye exams. Medicare Supplement plans only provide coverage for the remaining balance after Original Medicare pays its share. Because Original Medicare does not cover these services, neither do Medicare Supplement plans.

If you enroll in a Medicare Supplement plan, you are not out of coverage options when it comes to glasses and eye exams. Stand-alone vision plans are available to cover these benefits and others. Many stand-alone plans also offer coverage for additional services like hearing aids and dental care.

Several top Medicare Supplement carriers offer stand-alone vision plans. If you are seeking coverage, a licensed agent can review the plans available in your area and help choose the best coverage for your needs.

Does Medicare Cover Glasses After Cataract Surgery?

If you receive cataract surgery, Original Medicare may cover glasses or contact lenses from an approved supplier. In this case, Medicare Part B will cover 80% of the cost of contact lenses or glasses. However, the beneficiary will be responsible for the full cost of upgraded frames or additions to basic lenses.

If you receive cataract surgery on one eye, both eyes will be covered for glasses and contact lenses. However, to receive this coverage, the doctor who performed your cataract surgery must sign a prescription.

Find Medicare Plans in 3 Easy Steps

We can help find the right Medicare plans for you today

Also, it is important to be sure Medicare approves your supplier. If you receive glasses or contacts from a supplier who does not accept Medicare, you will be responsible for all costs.

FAQs

Does Medicare Part A cover glasses?
No. Medicare Part A covers inpatient hospital, hospice, and home health care services. Medicare Part B only covers glasses if you receive cataract surgery.
How much do glasses cost with Medicare?
If you only have Original Medicare, you will be responsible for 100% of the cost of glasses. Some Medicare Advantage plans provide vision benefits that may cover glasses up to a certain limit. However, not all Medicare Advantage plans offer this coverage.
What kind of glasses will Medicare cover?
If you recently had cataract surgery, Medicare will cover a basic pair of glasses or contacts. If you add any upgrades to the lenses or frames, you will be responsible for 100% of this cost.

How to Get Help with Medicare Coverage for Glasses

If you are seeking coverage for glasses and eye exams but are not sure where to begin, we can help. At MedicareFAQ, our licensed agents are experts in helping clients enroll in the best coverage for their needs. We review all plans available in your area to determine your best option.

We’re here to help! Give us a call at the number above or complete our online rate form to get started.

Enter ZIP Code

Enter ZIP Code

Enter your ZIP code to pull plan options available in your area.

Compare Plans

Compare Plans

Select which Medicare plans you would like to compare in your area.

Get Quote

Get Quote

Compare rates side by side with plans & carriers available in your area.

Jagger Esch

Jagger Esch is the Medicare expert for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and MedicareFAQ.com. Since the inception of his first company in 2012, he has been dedicated to helping those eligible for Medicare by providing them with resources to educate themselves on all their Medicare options. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

Comment

Your email address will not be published.