Does Medicare cover eye exams and vision care?

Senior man in Optometrist office trying on new glasses.

Original Medicare (Part A  and Part B ) doesn’t cover eye exams or other vision-related costs, except for special situations. But if you’re on Medicare, you have options. Many Medicare Advantage  plans include coverage for routine vision care, including eye exams, contact lenses, or eyeglass frames and lenses. You may also consider an individual vision care plan from a private insurer. 

Let’s take a closer look at Medicare, eye exams and vision care. 

Key points

  • Original Medicare does not include coverage for routine vision care.
  • Original Medicare may cover certain vision problems related to an illness or injury.
  • Many Medicare Advantage plans include coverage for routine dental, vision and hearing care.

Does Medicare cover vision care?

No, Original Medicare doesn’t include coverage for routine vision services. In some cases, Medicare might cover certain vision-related issues if they were caused by an illness or injury.  Original Medicare may also cover medically necessary treatments that may improve or cure chronic eye conditions like glaucoma or cataracts. 

Does Medicare cover eye exams? 

No, Original Medicare doesn’t cover routine eye exams to see if you need eyeglasses or contact lenses, but a simple vision test is included in your “Welcome to Medicare” visit.

Does Medicare cover eyeglasses? 

No, Medicare usually doesn’t cover the cost of eyeglasses or contact lenses. In some cases, like after cataract surgery, Part B may help cover the cost of  corrective lenses. 

You’ll pay 20% of the Medicare-approved amount for corrective lenses (1 pair of eyeglasses with standard frames or 1 set of contact lenses) after you meet the Part B deductible.  

Many Medicare Advantage plans provide coverage for routine vision care. Coverage may include annual exams, eyeglass frames with prescription lenses or contact lenses.

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Protecting your eyesight is key to staying healthy. While eyeglasses can improve your vision, other health issues might also affect how well you see.

Does Medicare cover diabetic eye exams? 

Medicare Part B helps cover a yearly diabetic eye exam for people with diabetes and diabetic retinopathy.1

After meeting your Part B deductible, you’ll pay 20% of the Medicare-approved cost. If the exam is done in a hospital outpatient setting, a copayment may apply.

Does Medicare cover glaucoma testing?  

Part B helps cover a glaucoma test every 12 months if you’re at high risk.2 You’re considered high risk if you have:

  • Diabetes
  • A family history of glaucoma
  • You’re African American and age 50 or older
  • You’re Hispanic and age 65 or older

After meeting your Part B deductible, you’ll pay 20% of the Medicare-approved cost. A copayment may apply if the test is done in a hospital outpatient setting..

Does Medicare cover macular degeneration testing?

If you have age-related macular degeneration, Medicare Part B may help cover tests and treatments.3

You’ll pay 20% of the Medicare-approved amount for macular degeneration testing after you meet the Part B deductible. If the exam is done in a hospital outpatient setting, you may also pay a copayment.

For more answers on Medicare coverage, check out what does Medicare cover (and not cover)?

Frequently asked questions

Does Medicare cover the cost of cataract surgery?

Yes, Part B will help cover cataract surgery if it’s medically necessary and done using traditional surgical techniques or lasers.4 You’ll pay 20% of the Part B copay plus any out-of-pocket costs such as your deductible, medication costs and physician fees. 

Do Medicare Advantage plans provide vision coverage?

Yes, many Medicare Advantage plans include vision benefits like annual exams, eyeglass frames with prescription lenses and contact lenses.

Do Medigap plans cover vision care?

No, standardized Medigap plans don’t cover vision care. They help pay for out-of-pocket costs like copayments, coinsurance and deductibles under Medicare Parts A and B. 

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Sources

  1. Eye exams (for diabetes) opens in new window ,” Medicare.gov, last accessed March 17, 2026.  
  2. Glaucoma screenings opens in new window ,” Medicare.gov, last accessed March 17, 2026. 
  3. Macular degeneration tests & treatment opens in new window ,” Medicare.gov, last accessed March 17, 2026.  
  4. Cataract surgery opens in new window ,” Medicare.gov, last accessed March 17, 2026