Original Medicare usually does not cover vision-related services unless it is for certain circumstances, such as surgery. However, some Medicare Advantage Plans will cover other vision-related services or items.
What does Original Medicare cover?
Original Medicare will more than likely not cover routine vision exams but will provide coverage under certain circumstances. For example, Original Medicare will pay if:
- Your vision condition is considered a medical emergency or traumatic injury, and you are admitted into the hospital.
- You need cataract surgery, or had cataract surgery and need vision correction, such as glasses or contact lenses.
- You are at high risk or have a family history of glaucoma. In this case, Medicare Part B will cover a yearly glaucoma screening.
- You need a vision exam to check for diabetic retinopathy.
- You have eye prosthesis due to a birth defect, trauma, or surgical removal.
- You need ocular photodynamic therapy.