Need Eyeglasses or Eye Care Coverage? Check Your Medicare OptionsPosted by Medicare Made Clear
Original Medicare will cover the costs of eye care associated with an eye injury or if you have a certain medical condition; for example, if you have diabetes, you’re at risk for glaucoma, or you need cataract surgery. If you need a routine eye exam or a new pair of eyeglasses, you’ll have to pay for them yourself because Original Medicare doesn’t cover them.
However, if you have a Medicare Advantage plan or a Medicare supplement insurance plan, your plan may cover some or all of the costs associated with routine eye care, routine eye exams or eyeglasses. Since each plan is different, you’ll need to call the number on your member ID card and speak to a customer service representative to find out if routine eye care or eyeglasses are covered.
If you do not have a Medicare Advantage plan or a supplement insurance plan, you may want to review your Annual Notice of Change to see what benefits are available in your current plan for the next calendar year.
Medicare Open Enrollment is a time each year for you to explore your Part D and Medicare Advantage plan choices and enroll in a plan that is a good fit for your needs for the coming year. Medicare Open Enrollment starts on October 15 and runs through December 7.
If you are having difficulties paying for eye care, you may qualify for financial help with Medicare premiums and other costs. Contact your local Social Security Administration office, www.ssa.gov or state Medical Assistance (Medicaid) program to find out if you qualify for Extra Help. You can also visit EyeCare America for more assistance.
Find out how to choose a Medicare Advantage plan or supplement insurance plan that includes routine eye care.
Learn more about Medicare Open Enrollment.
Learn more about Medicare Supplement Open Enrollment.
For more information, explore MedicareMadeClear.com or contact the Medicare helpline 24 hours a day, seven days a week at 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.
EyeCare America: The Foundation of the American Academy of Ophthalmology
Medicare.gov: Visit the official U.S. government site for Medicare.