Eye exams (routine)
Medicare Coverage Information
Overview
Medicare typically provides limited coverage for routine eye exams. Original Medicare (Part B) generally does not cover routine vision care, but beneficiaries may have some options through Medicare Advantage plans or supplemental vision insurance.
- Original Medicare (Part B) does not routinely cover eye exams for glasses or contact lenses
- Medically necessary eye exams related to specific conditions may be covered
- Some Medicare Advantage plans offer additional vision coverage
- Annual eye exams are typically not included in standard Medicare benefits
- All Medicare beneficiaries
- Those with Medicare Advantage plans may have additional vision benefits
- Patients with specific medical eye conditions may qualify for covered exams
- No standard coverage for routine eye exams under Original Medicare
- Beneficiaries typically pay 100% out-of-pocket for routine vision services
- Costs vary for supplemental vision insurance or Medicare Advantage plans
- Routine eye exams not covered by Original Medicare
- Only medically necessary eye exams related to specific conditions may be covered
- Vision care is considered an additional benefit, not a standard Medicare service
- Check with your specific Medicare Advantage plan for vision coverage
- Consider purchasing supplemental vision insurance
- Consult with your healthcare provider about medically necessary eye exams
- Compare vision care options during Medicare annual enrollment
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare eye examsroutine vision coverageMedicare vision benefitssenior eye careMedicare Part B vision
Related Coverage Topics
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