Does Medicare Cover Glasses?

Updated on April 25, 2023

Written By: Jagger Esch

Reviewed By: Ashlee Zareczny

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.

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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 you choose the best coverage for your needs.

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.

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Author Reviewer

Jagger Esch

Medicare Expert
https://www.medicarefaq.com/

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.