Original Medicare (Part A and Part B) generally does not cover routine vision care, including eyeglasses or contact lenses. However, there are some exceptions:
When Does Medicare Cover Eyewear?
- After Cataract Surgery: Medicare Part B covers one pair of eyeglasses or one set of contact lenses if you have cataract surgery with an intraocular lens implant.
- Coverage Details:
- Medicare pays 80% of the Medicare-approved amount after you meet the Part B deductible ($240 in 2024).
- You are responsible for 20% of the cost, plus any amount over what Medicare approves if the supplier does not accept Medicare assignment.
- Coverage Details:
Eyewear Coverage Under Medicare Advantage (Part C)
- Many Medicare Advantage (MA) plans offer vision benefits, which may include coverage for:
- Routine eye exams
- Eyeglasses (frames and lenses)
- Contact lenses
- Discounts on vision correction procedures like LASIK
- Out-of-Pocket Costs:
- Coverage varies by plan. Some MA plans provide an annual allowance (e.g., $150-$300) for eyewear, while others may have copays for lenses and frames.
Other Options for Eyewear Coverage
- Standalone Vision Insurance – Private vision insurance plans can help cover routine eye exams, eyeglasses, and contacts.
- Discount Vision Plans – Some discount programs offer reduced costs on eyewear but are not insurance.
Would you like help finding vision coverage options in your area?
