Does Medicare Cover Eye Exams and Glasses?

Your eyesight is very important, and it can change as you get older. Many people over 65 need help with vision problems like glaucoma, cataracts, and macular degeneration. As you get close to age 65 and start thinking about Medicare, it’s good to know what vision care is covered. (For more general information on turning 65 and Medicare, visit our dedicated page.)

Vision Coverage with Original Medicare

Original Medicare usually does not cover regular eye exams or glasses. You would have to pay the full cost yourself.

But Medicare Part B may help with some vision care, such as:

• Eye exams to check for eye diseases
• Glaucoma tests
• Yearly eye exams for people with diabetes
• Eye tests for macular degeneration
• Cataract surgery and one pair of glasses or contacts after surgery

After you pay your Part B deductible, you pay 20% of the cost. If you get care at a hospital, you may also have to pay a copayment.

Vision Coverage with Medicare Part C

If you want more vision benefits, you can sign up for Medicare Part C, also called a Medicare Advantage plan. KelseyCare Advantage is one of these plans. Explore our plans to see how comprehensive vision benefits can fit your needs.

Part C includes:

• Eye exams
• Treatment for eye problems or injuries
• Help paying for glasses or contact lenses

The KelseyCare Advantage Difference

Our members enjoy access to top vision providers nationwide — and full frame allowances. You have control over your eyewear choices, including discounts on screen protection and light filters.

In-Network Costs:

• Copays start at $20 for eye exams related to eye diseases
• $0 copay for one routine eye exam each year
• Up to $175 per year for glasses or contacts (not related to cataract surgery)

Covered services include:

• One regular vision exam each year
• Money to help pay for glasses or contacts
• Eye doctor visits to check or treat eye problems like macular degeneration
• One glaucoma screening each year if you’re at high risk
• One diabetic eye exam each year (for people with diabetes)
• One pair of glasses or contacts after cataract surgery (if you get a new lens)

Learn all about about our vision coverage here.

Get the Vision Coverage You Deserve

Your vision matters, and it should be part of your Medicare plan. With a plan like KelseyCare Advantage, you get vision coverage at no extra cost.

Have questions? Our licensed local agents can help. Give us a call at 713-442-5646