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Does Medicare pay for eye exams and glasses?

2 answers | Last updated: Apr 01, 2015
An anonymous caregiver asked...
need to know if medicare pays for eye exams and glasses

Caring.com User - Joseph L.  Matthews
Caring.com Expert
Joseph L. Matthews is a Caring.com Expert, an attorney, and the author of Long-Term Care: How to Plan & Pay for It and...

Medicare Part B covers only a very limited amount of eye care. The coverage is restricted to treatment of disease and post-surgical care, and only if provided by a medical See also:
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doctor, not an optometrist or optician. Medicare Part B does NOT cover vision examinations, eyeglasses, or contact lenses unless related to eye disease being treated by a medical doctor.

Medicare Part B covers treatment for eye disease, including surgery, by an ophthalmologist -- a medical doctor who specializes in treatment of eye conditions. If you are treated by an ophthalmologist for a medical condition and Medicare Part B covers it, Medicare Part B can pay 80% of the Medicare-approved amount for that doctor's services, as well as for outpatient hospital or clinic costs associated with that treatment.

Medicare Part B can pay for eyeglasses or contact lenses ONLY following cataract surgery in which a new lens is implanted in the eye. Also, a Medicare Part D prescription drug plan can cover eye drops or other eye medications if prescribed by a physician.


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