Does Medicare Cover My Eyes?

Many of you have wanted information on eye coverage through Medicare.

Medicare will only pay for a routine eye exam if you have diabetes. They will pay for an eye exam every 12 months to check for vision loss. If you are at high risk for glaucoma, they will pay 80% of an eye exam by a state-authorized eye doctor every 12 months, after you pay your Part B deductible. You are considered “high risk” if you:

* have diabetes

* have a family history of glaucoma

* are of African American decent and age 50 or older

* are Hispanic and age 65 or older

Medicare will also pay for certain non-routine eye-care services if they are related to a chronic eye condition, such as cataracts or glaucoma:

* surgical procedures to help repair the function of your eyes due to these conditions. Such as, cataract surgery or replacement of your eye lens with a man-made intraocular lens.

* eyeglasses or contacts ONLY if you have had cataract surgery. If it is medically necessary, Medicare may pay for customized glasses or contact lenses.

* eye exams to diagnose potential vision problems.

Medicare will NOT cover regular vision problems we all face, such as near-sightedness or far-sightedness or pay for glasses to correct your vision.

I hope this helps clear up some of the questions you have had. It is a relief to know that if you have a medical condition associated with your eyes that Medicare will take care of the expenses for you!

My Part D USA can help you find a Medicare health plan that will pay the 20% of these charges that Medicare does not pay.

toll free: 866-752-1795

Please write to me, Karyn Blake, here at My Part D USA’s blog at Or you can email this article to a friend.

Published by mypartdusa on January 11, 2008 in Other Topics of Interest.

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