Does Medicare Cover Glasses?
Generally, Original Medicare (Part A and Part B) does not cover glasses. However, if a Medicare recipient has cataract surgery in which an intraocular lens is implanted, Medicare will cover glasses or one set of contact lenses.
If Medicare covers your glasses after surgery, you will typically have to pay some out-of-pocket costs. A Medicare Supplement (Medigap) plan can help cover some of your out-of-pocket Medicare deductibles, copays, coinsurance and more.
How Much Do Glasses Cost If They're Covered by Medicare Part B?
If Medicare Part B does cover your glasses or contact lenses, you will typically pay 20% of the Medicare-approved amount for standard glasses or contact lenses.
The cost difference for any upgraded frames will be the responsibility of the patient.
Patients must be enrolled in Medicare Part B (which is optional) in order to qualify for coverage.
The Medicare Part B annual deductible must be satisfied before coverage will apply. The Part B deductible is $240 per year for 2024.
Coverage for glasses or contact lenses will only apply to suppliers enrolled in Medicare.
Some Medicare Part C (Medicare Advantage) plans may cover things like routine vision care and allowances for glasses.
Medicare Advantage plans are sold by private insurance companies, and they replace your Original Medicare coverage. Medicare Part C plan availability and coverage may vary depending on where you live.
Medicare Supplement Plans Can Help Cover Your Out-of-Pocket Costs
If your glasses are covered by Medicare Part B, a Medicare Supplement Insurance plan may help pay for some of the Part B out-of-pocket costs.
For example, there are eight standardized Medigap plans that offer full coverage of the Part B coinsurance (the 20% you would need to pay for your glasses or contact lenses).
With the right Medigap plan, you may be able to have the cost of your Medicare-covered glasses or contact lenses covered in full.
Learn more about common procedures that medicare covers.
A licensed agent can help you decide on a Medicare option that works for you. Call today to speak with a licensed agent and compare the Medigap plans that are available where you live.
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Christian Worstell is a health care and policy writer for MedicareSupplement.com. He has written hundreds of articles helping people better understand their Medicare coverage options.