Does Medicare pay for glasses

Answer 1

Please see New Search Your Medicare Coverage

Information provided is for the state of New YorkThe Medicare coverage information matching your selection criteria is shown below.Eyeglasses and Contact LensesCoverage under MedicareGenerally, Medicare doesn't cover eyeglasses or contact lenses.

However, following cataract surgery with an intraocular lens, Medicare helps pay for cataract glasses, contact lenses, or intraocular lenses provided by an ophthalmologist. Services provided by an optometrist may be covered, if the optometrist is licensed to provide this service in your state.

Important:

• Only standard frames are covered.
• Lenses are covered even if you had the surgery before you had Medicare.
• Payment may be made for lenses for both eyes even though cataract surgery involved only one eye.

The amount you need to payYou pay 20% of Medicare-approved amounts for one pair of eyeglasses or contact lenses after each cataract surgery with an intraocular lens.

You pay any additional cost for upgraded frames.

The part of Medicare that pays for this service or supplyPart B BenefitMedicare Contact for additional informationState of New York DME MAC -- Durable Medical Equipment Medicare Administrative Contractor: 1-800-633-4227

Jurisdiction AImportant notes

1. You must pay an annual $162 (in 2011) deductible for Part B services and supplies before Medicare begins to pay its share.
2. Actual amounts you must pay may be higher if a doctor, health care provider, or supplier does not accept assignment.
3. If you choose to purchase "upgraded frames," your supplier should ask you to sign an Advance Beneficiary Notice (ABN) informing you that you will be required to pay the difference in the cost for the "upgraded frames" and the Medicare-approved amount for "standard frames."
4. If you choose to purchase "upgraded frames," your supplier is required to submit claims to Medicare indicating the purchase of the "upgraded frames" as 2 separate line items on the claim. The supplier will use code V2020 for the cost of the "standard frames" (the Medicare-approved amount) and code V2025 for the difference between the charges for the "deluxe frames" and the "standard frames" (the amount you are required to pay). These codes will appear on the Medicare Summary Notice (MSN) you receive. Code V2025 will appear on your MSN as a non-covered charge

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