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 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.
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)
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
Michael Quinn is an independent licensed insurance agent with a passion for helping others navigate the complex world of Medicare insurance. With over a decade of experience in the field, Michael has established himself as a trusted advisor to countless individuals seeking guidance on their healthcare coverage options.
In 2013, Michael obtained his license as an insurance agent, laying the foundation for his successful career in the industry. Prior to that, he earned his Masters Degree in Communicative Disorders from the University of Central Florida, which equipped him with strong communication and interpersonal skills.
Driven by a genuine desire to make a positive impact on people's lives, Michael co-founded REMEDIGAP in 2013. It was created as a dedicated platform that aims to educate individuals about Medicare insurance. Through REMEDIGAP, Michael provides comprehensive resources and unbiased information to empower individuals to make informed decisions about their healthcare coverage.
With his extensive knowledge and expertise, Michael has been able to guide thousands of individuals towards finding the most suitable Medicare insurance plans tailored to their unique needs. His dedication to his clients' well-being, coupled with his passion for simplifying complex insurance concepts, has earned him a reputation as a compassionate and reliable advisor.
His work has appeared on many blogs and websites including, USA Today, Yahoo.com, Nerdwallet, Think Advisor, and REAL SIMPLE.