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Medicare coverage eyeglasses
Medicare coverage eyeglasses is usually available to medicare patients who have undergone a cataract surgery with insertion of an intraocular lens. These patients are eligible for Medicare coverage for one pair of eyeglasses after each cataract surgery. medicare coverage eyeglasses will pay 80% of the Medicare -approved costs for standard frames and lenses as long as the annual Medicare deductible has been met. Most patients opt of a Medicare supplement insurance to ensure coverage of eyeglasses and lenses. How ever if you opt for a Medicare supplement, it may or may not contribute to any Medicare deductible amounts on the remaining Medicare - approved costs. This will depend on each individual Medicare supplement policy. Any portion on the Medicare approved amount not paid for by insurance will be the patient responsibility.
Remember that the Medicare coverage eyeglasses covers only the standard frames and lenses, if you want deluxe and expensive frames and lenses, you will be charged additional for the non-covered part which is your responsibility. Please call our office or email us if you have any questions regarding Medicare coverage on eyeglasses after cataract surgery. Many medical plans do not include coverage of contact lenses or eyeglasses. Medicare coverage eyeglasses under several medical plans is available only for a narrow set of therapeutic indications, such as for Keratoconus The coverage will include the general examination, advanced corneal topographic modeling, and the fitting of contact lenses.
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For conditions such as Aphakia Medicare coverage eyeglasses is also available. Additional coverage of contact lenses and eyeglasses may be provided under the member's vision care plan, if any. Medicare coverage eyeglasses usually covers only one pair of glasses or lenses after cataract surgery and an additional pair of lens(es) each time the member's prescription changes. Requests for coverage of lost or broken glasses or lenses will be reviewed on an individual basis. Please check benefit plan descriptions for details.
The specific coverage for eyeglasses and lenses include:
1. Bifocal spectacles; or
2. Spectacles for short-sightedness or long-sightedness; or
3. Binocular and monocular aphakia contact lens(es) for far vision prescribed by the specialist, the coverage may be provided for both the contact lens(es) and for spectacles for near vision that are worn either simultaneously with the contact lenses or when the contact lenses have been removed.
4. Ultraviolet (UV) protection lenses for aphakia for Medicare members and HMO members
Medicare coverage eyeglasses cover no more than one pair of eyeglasses or contact lenses after each cataract surgery with insertion of an intraocular lens (IOL). Replacements of conventional eyeglasses or contact lenses are not covered under the medical plan. Medicare coverage eyeglasses does not cover normal sunglasses. However it covers the cataract-tinted glasses in addition to regular (un-inted) lenses because the sunglasses duplicate the restoration of vision function performed by the regular lenses.
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