Does Medicare Cover Eye Exams? What You Need to Know
Medicare's eye care coverage has important exceptions. Here's a clear breakdown of what's covered, what isn't, and how to make the most of your benefits.
What Original Medicare Does NOT Cover
Original Medicare (Parts A and B) does not cover routine eye exams for eyeglasses or contact lenses. It also doesn't cover the cost of eyeglasses or contacts for most patients — with one exception noted below.
What Medicare DOES Cover for Eye Care
✓ Diabetic eye exams
One dilated eye exam per year for patients with diabetes. Medicare Part B covers 80% after the Part B deductible. Most patients pay $0 when their provider accepts Medicare assignment.
✓ Glaucoma screenings
Annual glaucoma screening for high-risk patients: those with diabetes, a family history of glaucoma, or African Americans over age 50.
✓ Eye disease treatment
Medically necessary visits to diagnose and manage eye diseases — glaucoma, macular degeneration, cataracts, uveitis — are covered under Part B.
✓ Post-cataract surgery eyewear
One pair of eyeglasses or contact lenses after cataract surgery with an intraocular lens implant.
Medicare Advantage (Part C)
Many Medicare Advantage plans include routine vision coverage not available through Original Medicare. Benefits vary significantly by plan — some include annual exam coverage, frame allowances, and contact lens benefits. Check your specific plan's Evidence of Coverage document or call your plan.
We Accept Medicare at Mill Creek Family Eye
Mill Creek Family Eye Center is enrolled with Medicare. We see patients for diabetic eye exams, glaucoma monitoring, and eye disease management. Call us and we'll verify your specific Medicare coverage before your visit.
Book Your Medicare Eye Exam in Mill Creek
We accept Medicare for diabetic exams, glaucoma screenings, and medical eye care. Book online or call us to verify your coverage.
Book Your Eye ExamFrequently Asked Questions
Does Medicare Part B cover routine eye exams?
No. Original Medicare (Parts A and B) does not cover routine vision exams for glasses or contact lenses. However, it does cover medically necessary eye care such as diabetic retinal exams, glaucoma screenings, and treatment of eye diseases.
Does Medicare cover diabetic eye exams?
Yes. Medicare Part B covers one dilated eye exam per year for patients with diabetes — and typically at no cost-sharing when performed by a Medicare-enrolled provider.
Does Medicare Advantage cover routine eye exams?
Many Medicare Advantage (Part C) plans include routine vision benefits not offered by Original Medicare. Contact your specific plan to learn what's covered.