Does Medicare cover eye exams, or are seniors left paying too much?
Answered by 34 licensed agents
Answered by Renee Brown on March 25, 2025
Broker Licensed in FL, AL, AR & 32 other states
Answered by Melonie Wood on March 25, 2025
Agent Licensed in FL & AL
Answered by Brian Moore on March 26, 2025
Broker Licensed in OH
Answered by Joseph Bachmeier on March 25, 2025
Agent Licensed in PA, DE, FL & MD, NC, NJ & SC
Answered by William Lawler on March 28, 2025
Broker Licensed in MO, FL, IA & 12 other states
Answered by Christopher Boyd on March 4, 2025
Agent Licensed in IN, KY, MI, OH, PA & TN
Answered by Robert Pennington on March 31, 2025
Broker Licensed in NC, GA, SC & VA
Answered by Amy Putrino on March 25, 2025
Agent Licensed in RI, CT, FL & 11 other states
Answered by Dutch VanHoesen on March 25, 2025
Broker Licensed in FL
Answered by Bryan Smith on March 10, 2025
Broker Licensed in UT, AL, AR & 35 other states
1. Medicare covers eye exams once per year to check for diabetic retinopathy if you have diabetes. It’s covered under part B, so you pay 20% after you’ve met the Part B deductible. In 2025, that deductible is $257.
2. Routine eye exams are not covered by Medicare. If your vision is simply getting worse due to age, it’s not covered.
However, Medicare DOES normally cover cataract surgery and one pair of glasses afterward. It has to be cataract surgery that implants an “intraocular lens”.
Answered by John Stagner on March 25, 2025
Broker Licensed in MO & TX
Answered by Karen Boudreaux on March 13, 2025
Agent Licensed in TX, AZ, CA & 5 other states
Answered by Taylor Langlois on March 12, 2025
Agent Licensed in KS, CO, MO, NE, OK & TX
Answered by Gregg Matheny on March 25, 2025
Agent Licensed in AZ & UT
Any questions on this benefit please contact me for more information.
Answered by Leslie Helene Sussman on March 31, 2025
Broker Licensed in NJ, DE, FL & PA
Medicare Advantages have all the extra bells and whistles. Most of them have Eye wear coverage.
If the Eye exam is for a medical reason it will be covered under all plans
Answered by Tasha Riggs on March 27, 2025
Broker Licensed in CO, AZ, HI & 10 other states
Answered by Michael Pyers on March 26, 2025
Broker Licensed in OH & MI
Answered by Tammie Rutledge on March 29, 2025
Broker Licensed in WA, AZ, FL & ID, MT, OR & TX
Answered by Michael Yost on April 6, 2025
Broker Licensed in OH, AL, AZ & 27 other states
Answered by Lea Ayres on March 12, 2025
Broker Licensed in PA, CT, MD & 8 other states
Answered by Ryan Raphael on March 5, 2025
Broker Licensed in MO, AZ, GA, IL & TN
Answered by George Kolitsas on March 25, 2025
Broker Licensed in CT
Best to ensure your choice of doctor(s) is covered under the plan
Answered by Jeffrey Simpson on March 7, 2025
Agent Licensed in NC, GA & SC
Answered by Mitchell Jerome on March 12, 2025
Broker Licensed in TX
Answered by Morgan Greer on March 25, 2025
Agent Licensed in KS & MO
Answered by Martin Cahill on March 4, 2025
Agent Licensed in MA, CT, FL & 5 other states
Answered by Amy Chamberlain on March 25, 2025
Agent Licensed in MI & WI
Answered by Stephanie Yarberough on March 4, 2025
Broker Licensed in PA
Answered by Brian Krantz on March 25, 2025
Broker Licensed in NY, AK, AL & 48 other states
Medically Necessary Eye Exams:
Covered by Original Medicare if related to a medical condition, such as: Diabetes (diabetic retinopathy screening: once per year), Glaucoma (high-risk patients: once per year), Age-related macular degeneration, Eye injuries or infections.
Answered by Sam Silva on April 15, 2025
Broker Licensed in FL, GA, NJ & 7 other states
Answered by Aisha Saleem on March 13, 2025
Agent Licensed in MD & FL
Medicare usually covers the part of your eye exam that looks for medical eye problems like cataracts, retinopathy, macular degeneration or glaucoma. Medicare does not pay for the vision refraction part of the exam for glasses or contact lenses. If you need treatment for a medical condition of the eye, Medicare will pay for that, too, but they usually do not pay for glasses or contact lenses.
Answered by Barbara Barnes, CMIP® on April 11, 2025
Agent Licensed in PA
Answered by Jill Belvin on March 24, 2025
Agent Licensed in TX, AZ, FL, MI & NJ
Supplements, original Medicare and Medigap can have standalone Vision, dental and hearing policies added at an additional cost if needed.
Answered by Edward Cavelli on March 26, 2025
Agent Licensed in Pa, FL, OH, TX, VA & WV
Tags: Coverage
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