Does Medicare Cover Cataract Surgery
Cataracts, which are cloudy areas in the lens of the eye, typically develop slowly. Cataracts can form because of aging, trauma, diabetes, prolonged use of corticosteroid drugs, smoking, alcohol use, or prolonged exposure to strong sunlight.
If you have cataracts, you might have some of the following common symptoms:
- Colors appear to be faded
- Vision is blurry or doubled
- Seeing halos of light around objects
- Difficulty seeing in the dark
- Difficulty seeing in bright light
Medicare covers the following services and supplies for cataracts:
- Cataract removal surgery either the phacoemulsification or the extracapsular procedure
- Intraocular lens implantation
- One pair of prescription lenses either eyeglasses or contacts after the procedure
Original Medicare Part A covers your cataract surgery if you are treated as an inpatient in a Medicare-affiliated hospital. This is uncommon for cataract surgery, but if you need to be admitted for your procedure, you are responsible for paying your Part A deductible for the relevant benefit period.
Original Medicare Part B covers outpatient cataract surgery and doctors appointments. You must have the procedure done in a medical facility that accepts Medicare assignment. Doctors/surgeons must also accept Medicare assignment for you to be eligible for the benefit.
Part B also covers one pair of eyeglasses or contact lenses if you have an IOL implanted. You must get them from a medical supplier who accepts Medicare assignment.
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Search Based On Your Schedule
Practice
- Illinois College of Optometry, Doctor of Optometry
- Veterans Affairs New York Harbor Healthcare System, Residency in Ocular Disease
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- State University of New York, Doctor of Optometry
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- State University of New York, Doctor of Optometry
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- New England College of Optometry, Doctor of Optometry
- Emory University
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- Illinois College of Optometry, Doctor of Optometry
- Veterans Affairs New York Harbor Healthcare System, Residency in Ocular Disease
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- Inter American University of Puerto Rico, Doctor of Optometry
- State University of New York, Binghamton
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- Salus University, Pennsylvania College of Optometry, Doctor of Optometry
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- Illinois College of Optometry, Doctor of Optometry
Professional memberships
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- State University of New York, Doctor of Optometry
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- State University of New York, Doctor of Optometry
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- Universidad Interamericana de Puerto Rico, Doctor of Optometry
- Emory University
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- MEDEX DIAGNOSTIC AND TREATMENT CENTER
Education
- State University of New York, Doctor of Optometry
- State University of New York, Residency in Ocular Disease
- State University of New York, Fellowship in Ocular Disease
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- State University of New York, Doctor of Optometry
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Best For People Without Insurance: Pearle Vision
Pearle Vision
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Patient experience varies depending on doctor/staff
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Limited frame brands
When Pearle Vision opened its doors in 1961, founder Stanley Pearle, an optometrist in Georgia, started the practice with the sentiment of caring for eyes and the people behind them. The company has grown to become one of the largest discount optical chains in America.
Since each Pearle Vision center offers frame selections unique to its area, the company encourages you to call to inquire about the availability of certain frames youre looking for. Eye exams are conducted by independent optometrists at or inside retail stores in most states, while some doctors are employed by Pearle Vision.
Eye exam costs will vary depending on your insurance plan, your location and the services you receive during your visit. The company claims to work with all major vision insurance plans to help patients receive affordable eye care by offering discounts and various package deals.
Also, if for any reason you are not 100% satisfied with your eyewear purchase, you can return it. Simply give back the merchandise in its original condition within 30 days of purchase. Pearle Vision stores are located throughout North America. Hours of operation typically include Monday through Saturday, 9 a.m. to 5 p.m. Most stores are closed on Sunday.
Best For Doctor Quality: Vision Source

Vision Source
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Higher examination fees
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Limited appointment hours
Founded in 1991, Vision Source was established by a group of private-practice optometrists who wanted competitive advantages to compete with commercial and retail locations. Vision Source boasts unmatched personal care, advanced eye care services, state-of-the-art technology, and high-quality vision products.
All Vision Source locations are independently owned by optometrists as franchise locations. Each one is owned by the doctor and all business is controlled as they see fit. Most Vision Source locations offer large opticals with both high-end and budget-friendly frames.
Vision Source’s private-practice optometrists offer the latest technology, new instruments, and diagnostic equipment, as well as treatment of eye disease, injuries, and infections.
To find the cost of an eye or contact lens exam, enter your zip code to find an optometrist. Vision Source practices usually accept many vision and medical plans. Patients may join the Vision Source 20/20 Savings Plan for discounts on eye exams and eyeglasses.
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How Can I Book An Appointment Online With A Doctor For Eyeglasses
Zocdoc is a free online service that helps patients find doctors for Eyeglasses and book appointments instantly. You can search for doctors for Eyeglasses or any other visit reason. Then, enter your desired appointment location and choose your insurance plan. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.
Does Medicare Cover Eye Exams
Medicare covers a medical eye exam, which can be completed by an optometrist or ophthalmologist, but will not cover a refraction, which is part of a vision exam resulting in a prescription for glasses. You may be charged extra for a “refraction fee” if using Medicare coverage. Or, if you have a secondary provider, that may cover the refraction fee. This fee can vary by region and provider. Usually, your provider will inform you of this fee before the examination.
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Are Free Eye Exams Worth It
There is no difference between eye exams you pay for and ones that are free. The standards for tests are the same, and either one should yield the same results.
Organizations and optometrists who participate in programs that offer free eye exams do so to ensure that everyone has access to basic and important eye care. Their goal is to give you the best possible care regardless of someones ability to pay.
If you or your children are eligible for free eye exams through any of these programs, doctors recommend you take advantage of them.
Does Medicare Cover Eye Care
After the age of 65, certain eye diseases and conditions such as age-related macular degeneration, diabetic retinopathy, cataracts, glaucoma, dry eye, and low vision become more common and increase the possibility of vision loss or blindness if they arent treated early.
Because these conditions dont always have obvious symptoms in their early stages, its even more important for people 65 and older to get regular eye exams and to take extra care of their vision. If you have Medicare or will be eligible soon, you may be looking for eye doctors who accept Medicare.
Unlike some Medicare Advantage vision care services that are often included within a plans additional benefits, Original Medicare Part B doesnt cover routine eye care services. Routine eye care may include services such as eye refractions, eyeglasses, or contact lenses . However, Medicare does cover certain eye exams and vision services in specific circumstances.
In certain instances, Medicare Part B may cover its share of the cost for visits to eye specialists, if your appointment is for a service that is covered by Medicare. The eye specialist, ophthalmologist, or optometrist must accept Medicare assignment for you to get this coverage.
TIP: To get the most out of your health insurance learn the basics of Medicare.
Find a new plan
Get recommendations based on what’s important to you, and compare them to your existing plan.
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Sight For Students And Eyes Of Hope
Sight for Students is another Vision Service Plan Program aimed at children. Applicants must be 19 years old or younger, have no private or public vision coverage, and have a family income no greater than double the federal poverty line. Your child can apply for the program through their schools nurse.
How Can I Find Eye Doctors Near Me
To find eye doctors or specialists near you that accept Medicare, you can use our plan finder tool. Simply type in your zip code and find plans that include vision care services.
Along with visiting your ophthalmologist or optometrist regularly, you can protect your eyes by doing the following:
- Wearing good quality sunglasses when youre outside
- Quitting smoking or using other tobacco products
- Eating a healthy diet full of nutrients from fresh fruit and vegetables
- Engaging in physical activity every day
- Keeping your blood pressure at a healthy level
- Managing blood sugar levels
- Avoiding eye strain from too much screen time
Protecting your vision is vital to staying independent and healthy in your senior years, so its important to have information about how your Medicare insurance covers vision care services and how to find eye doctors who accept Medicare near you.
TIP: Use the Medicare plan finder to help you find out which plans offer the best vision services and compare them against your existing coverage.
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The Best Places For Eye Exams In 2022
- Best for Doctor Quality: Vision Source
- Best for Coupons and Discounts: LensCrafters
- Eye exam cost: About $50 to $100
- Perk: Ability to bring your own frames
- Number of locations: 558 throughout the U.S.
Why We Chose It: Costco Optical ranks as the best overall place to get an eye exam because of its convenience and its wide selection.
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Non-professional warehouse feel
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Membership required for purchases
Costco is a wholesale American company offering a broad variety of merchandise. The company operates as a membership-only warehouse club with retail outlets across the world and opened its first optical lab in 1988.
Costco Optical now ranks as one of the largest optical companies in the United States. It is important to note that most Costco Optical locations will see patients without Costco memberships, although a membership is required to fill an eyeglass prescription or purchase contact lenses. In most states, the company employs independent doctors of optometry within or near the store.
The optical departments offer a wide range of eyeglass frames for the whole family. The company claims to offer the latest technology in high-definition lenses. For prices call your local Costco.
Costco also allows you to bring your own frames to fill with new lenses. And, it offers a discount if you purchase multiple frames on the same day. Most major insurance is accepted. Hours of operation are Monday through Friday, 10 a.m. to 8 p.m., with reduced hours on weekends.
Our Team Of Eye Doctors

We are an ophthalmology-based practice and our expert and empathetic team of eye doctors consists of both ophthalmologists and optometrists. This winning combination brings you comprehensive eye care at each of our eye care centers. Our eye doctors bring multiple specialties to the table to provide the care needed by your family. We provide high-quality eye exams and eyeglasses at each of our clinics. Our optical shops carry a wide variety of glasses options. You will find the perfect eyeglass frames to fit your budget and personality and we provide the latest eyeglass lens technology available, including glasses for blocking blue light. When surgery is necessary, we have built one of the premier eye surgery centers in Georgia to provide you with truly comprehensive eye care.
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How Can I Make A Same
On average, patients who use Zocdoc can search for a doctor for Eyeglasses, book an appointment, and see the doctor within 24 hours. Same-day appointments are often available, you can search for real-time availability of doctors for Eyeglasses in your area who accept your insurance and make an appointment online.
Get The Look You Want Today
Welcome to the official site of Eye Doctor’s Optical Outlets. Florida’s local eyewear resource for eye examinations, designer eyeglasses, custom contact lenses and much more. We have over 50 locations throughout Florida to serve you better. Each of our locations is doctor-owned and operated and offers exceptional customer service and a tremendous variety of discount and designer eyewear and contact lenses. Come see us!
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Eye Exams For Active Duty Family Members
Active duty family members can get one routine eye examAn exam of your vision and the health of your eyes. per year. You may be eligible for more robust vision coverage, including help paying for glasses, contacts, and laser eye surgery, through the Federal Employees Dental and Vision Insurance Program. > > Learn more.
Medicare Advantage Vision Care Services
Medicare Advantage plans are sold by private insurance providers. They are required to provide, at minimum, the same benefits as Original Medicare Parts A and B. But Part C plans can also offer extra benefits such as dental, hearing, and vision care.
Today, most Medicare Advantage plans include routine vision care which can include the following services:
- Routine eye exams
- Corrective lenses for eyeglasses or contact lenses
- Frames for eyeglasses
- Examinations for eyeglass or contact fittings
- Some retinopathy procedures
- LASIK procedure if it is medically necessary
Your coverage for these services depends on the Part C plan you enroll in. Every plan has the option to cover these extra services, or not.
To get more of your Medicare questions answered, subscribe to our free monthly newsletter
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What Happens During A Contact Lens Fitting
When it comes time for your contact lens fitting, the optometrist will recommend the best contacts for your eyes based on the results of your contact lens exam. After you agree to a style, theyll set you up with a trial pair and apply the contacts to your eyes to ensure a good fit.
Before you leave, the eye doctor may also conduct additional vision tests. This is to ensure the contacts fit as intended and to prevent them from falling out and impacting your vision.
Once your eye appointment is complete, youll want to meet the eye care team at the front desk to book a follow-up. This is important for the eye doctor to examine your trial contacts and eyes in case you need a different pair. If your contacts are sufficient, however, the optometrist will prescribe you official contact lenses.
Best For Frame Selection: Eyeglass World
Eyeglass World
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Eyeglass prices seem higher than advertised
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Frame materials lack quality
With more than 100 locations throughout the United States, Eyeglass World offers customers a high volume of eyeglass frames for various price ranges.
The company claims that all of its showrooms are stocked with thousands of name-brand frames. It offers mens, womens, and childrens frames made by Ray-Ban, Oakley, Christian Siriano, Vera Bradley, BCBG, Nike, Steve Madden, and more.
The discount optical chain claims that since it orders so many frames from its vendors, it is able to pass on big savings to its customers. In fact, the company offers a running promotion of two pairs of eyeglasses for one low price every day.
Kids 13 and under receive a free upgrade to impact-resistant lenses with the purchase of eyeglasses. Call your local store for the cost of regular eye exams and contact lens exams, Eyeglass World has some of the lowest fees around. However, a quick Google search reveals several negative reviews about the lack of quality materials.
Hours of operation typically include Monday through Saturday, 9 a.m. to 7 p.m., with most stores closed on Sunday.
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How Can I Find A Top
You can use Zocdoc to find Eyeglasses doctors who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.
Whats The Difference Between An Ophthalmologist Optometrist And Optician

Optometrists and ophthalmologists are doctors who specialize in caring for your eyes. An eye doctor performs eye exams and diagnoses and treats eye problems. Ophthalmologists can also perform surgery to correct eye issues.
An optician helps you with corrective lenses. An optician isnt a doctor, but they have training to help you choose eyeglass frames. They also ensure that glasses and contact lenses fit.
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Summary: Where Can I Schedule A Contact Lens Exam In My Area
You can find our optical stores in several large and surrounding cities throughout the nation, making it easy to know where to get a contact lens exam near me. Click here to find a nearby location.
During your contact lens exam, remember that your eyes will be fit for contacts if deemed appropriate by your eye doctor. Theyll show you how to insert and remove your new eyewear, as well as utilize other vision exams to verify that contacts are the best option for your eyes. After this, theyll send you home with your first pair of trial lenses.
If youre afraid of switching from glasses to contacts, dont be. It all starts with a painless contact lens exam, and the rest is simple.