fbpx

Does Medicare Cover Cataract Surgery & Eye Exams?

Share on email
Share on facebook
Share on twitter
Share on linkedin
Share on pinterest
Share on reddit

Find affordable Medicare Supplement Insurance plans

Want to know more about Medicare vision and what’s covered (and what’s not)? 

Let me guess. You’re probably wondering:

  • Does Medicare cover cataract surgery?
  • Does Medicare cover eye exams?
  • Does Medicare cover vision?

Good news — We’re going to answer all these questions about Medicare vision coverage, surgeries and more.

Does Medicare cover cataract surgery

Does Medicare Cover Cataract Surgery?

Does Medicare cover eye surgery? Medicare will cover your cataract surgery as long as it is done using traditional surgical techniques or using lasers. There are some basic requirements to qualify for cataract surgery. 

The Medicare requirements for cataract surgery are:

  • Your doctor must say that your cataract surgery is medically necessary.
  • The doctor that is treating you must accept a Medicare plan as payment.

Does medicare pay for cataract surgery?

The quick answer is yes. 

Your cataract surgery will be paid by Medicare, as long as your physician has determined that it’s a medically necessary surgery for you to live a healthy life.

Important: Make sure you check out the latest copy of the Medicare and You Handbook. You’ll be able to find the latest information on Medicare coverage.

How much does medicare pay for cataract surgery?

Cataract surgery can cost anywhere from around $3,600 to $6,000 per eye. Remember that Medicare pays 80% of the medical expenses that are surgery related. You will be responsible for the remaining 20% of these costs unless you have a Medicare Supplement.

Your Medicare plan pays for the following services:

  • preoperative exam
  • cataract removal
  • lens implantation
  • postoperative exam
  • postoperative prescription eyeglasses (1 pair)

Let’s review:

Your Medicare Part A provides coverage for your inpatient hospital stays. You will not require an overnight stay after your cataract surgery (typically). Now if you were to require a stay at the hospital (for example, if you had complications) Part A would provide coverage for these additional accommodation costs.

Medicare Part B provides coverage for preventative and medically necessary procedures. Cataract surgery is covered as well as certain post surgical costs.

medicare vision coverage

Since Medicare may pay for your cataract surgery, you may be also be wondering, “does Medicare pay for eye exams?”

There is no Medicare eye exam coverage. In other words, Medicare will not cover your eye exams (also referred to as eye refractions) for contact lenses or eyeglasses. You will pay 100% for your eye exams

does medicare cover glasses?

Does Medicare cover eyeglasses? Typically, Medicare will not provide coverage for your prescription eyeglasses. The only exception is for the one pair of glasses or contact lenses that you get once you complete your cataract surgery.

Frequently Asked Questions

Is cataract surgery covered by medicare if it is done with a laser? Yes, as long as it meets the basic requirements for cataract surgery. 

Although Medicare will typically pay for cataract surgery, Medicare typically does not pay for eyeglasses. The exception is one pair after cataract surgery.

Original Medicare (Part A and Part B) typically doesn't provide coverage for routine eye exams for contact lenses or eyeglasses. However, if you are at high risk for glaucoma or have been diagnoses with diabetes, your Part B will provide coverage every 12 months for an annual eye exam.

Find affordable Medicare Supplement Insurance plans in your area

Questions?

We know that Medicare can be confusing.  We also know that everyone's situation is different. That's why we're here to help. Schedule your free consultation now!

Joe Moynihan
Joe Moynihan
Facebook review
Read More
Best decision I made going through REMEDIGAP. I must have watched 40-50 videos from several different carriers and they mostly seemed shady. One I spoke to Joann and walked through options, received some quotes she took care of the rest with absolutely no pressure.
Billy Shows
Billy Shows
Facebook review
Read More
I wish I had found REMEDIGAP in the beginning. It would have saved me 3 months of headache. Joann is really awesome in the way she explains everything and she is a very genuine person.
Diane Langille-stone
Diane Langille-stone
Facebook review
Read More
This was the best thing I could have done for my self every thing was explained to me so I could make the best choice for me. And when I need help later they will be there for me.
Tammy Feola
Tammy Feola
Google review
Read More
Joann is top notch when it comes in explaining whatever question you might have in regards to supplemental insurance. She is professional, courteous, a lovely person to talk to. I feel at easy when talking to her. She is a great asset to your company.
READ ALL OUR REVIEWS!
READ ALL OUR REVIEWS!
Click above to read all our reviews from our wonderful clients!

Compare free Medicare Supplement quotes from top rated insurers

Find affordable Medicare Supplement insurance plans

Compare free Medicare Supplement quotes from top rated insurers

PEACE OF MIND

Don't Forget Your Medigap Quote!

medigap quote

Compare The Top Medicare Supplement Plans In Your Area

This is a solicitation for insurance, a member of REMEDIGAP will contact you to discuss your Medicare options.

Join our 7-Day Medicare eCourse

Medicare doesn’t have to be so confusing. We’ll send you 7 email lessons with videos that will guide you through the Medicare process. We want you to be informed, confident and comfortable with your Medicare planning.