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Does Original Medicare Cover Eye Exams?

Original Medicare, Part A and Part B, does not generally cover routine eye exams for eyeglasses or contact lenses. However, Medicare Part B will cover an annual eye exam every 12 months if you have diabetes or are at high risk for glaucoma. Part B coverage also includes diagnostic tests and treatment for certain eye diseases, such as lucentis, aflibercept, and ocular photodynamic therapy.

Because Medicare Advantage plans must offer at least the same coverage as Original Medicare, these plans (offered by private, Medicare-approved insurance companies) also cover the circumstances described above. However, some Medicare Advantage plans may offer additional coverage, which could include routine vision benefits. Certain Medicare Supplement (Medigap) plans may also cover vision-related costs or provide additional eye coverage for an extra cost.

You can type your zip code into the form on this page to see a list of Medicare plans in your vicinity. To speak with one of eHealth’s licensed insurance agents, just call eHealth at the phone number below this article.

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