Does Original Medicare cover eye exams?

Does Original Medicare cover eye exams?

Original Medicare generally doesn't cover routine eye exams, or exams for the purpose of acquiring or adjusting prescriptions for eyeglasses or contact lenses. However, Medicare Part B will cover an eye exam once every 12 months if you have diabetes or you have a high-risk of developing glaucoma.

For certain eye diseases, Part B provides coverage for diagnostic tests, and treatments including lucentis, aflibercept, and ocular photodynamic therapy.

Finding Additional Coverage for Eye Care

Certain plan options, such as Medicare Advantage plans, which are sold through private Medicare-approved insurance companies, might offer additional coverage for eye exams and vision care. All Medicare Advantage plans include the eye care coverage offered by Medicare Part B, but may also offer routine vision care and other benefits. Some Medicare Supplement plans, or Medigap plans, also cover vision-related expenses or offer additional eye care coverage for an extra cost.

If you want to find and compare qualifying plans that offer more eye care coverage than Original Medicare, you can use our free Medicare Cost Revealer to find Medicare Advantage and Medigap plans available in your area.

There may be several Medicare plans that offer routine eye exam coverage in your area, but specific details often vary by plan. Be sure to compare multiple plans and providers to find the one that works best for you.

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Does Original Medicare cover eye exams?