Things Medicare Doesn’t Cover #1 – Vision Care

A handsome senior Black man wearing glasses and sitting outdoors with his hand on his chin as if he is pondering something.

Medicare is a government health insurance program that provides coverage for individuals aged 65 and older, as well as certain individuals with disabilities. While Medicare offers extensive benefits, it’s important to understand the limitations and gaps in its coverage to avoid unexpected expenses.

As individuals approach the age of 65 or qualify for Medicare due to disabilities, it becomes essential to grasp the scope of Medicare coverage. By familiarizing themselves with the services and treatments that Medicare does not cover, individuals can proactively explore alternative options to bridge these gaps and ensure comprehensive healthcare access.

Vision Care

Original Medicare (Part A and Part B) typically does not cover routine eye exams, prescription glasses, or contact lenses. Beneficiaries are responsible for the full cost of these services and eyewear.

While routine eye exams are essential for maintaining good eye health, Original Medicare considers them part of preventive care and only covers them in certain cases, such as those related to specific medical conditions like diabetes or macular degeneration.

The cost of prescription glasses and contact lenses, including frames and lenses, is not covered by Medicare.

To address this coverage gap, beneficiaries have options to explore. Medicare Advantage plans (Part C) offered by private insurance companies approved by Medicare may include vision coverage as an additional benefit. Another option is standalone vision insurance plans, which focus on vision-related services and can be purchased separately to supplement Medicare coverage.

By considering Medicare Advantage plans or standalone vision insurance plans, beneficiaries can find additional coverage options for eye exams and eyewear. A careful review of the specific benefits and limitations of each plan is necessary to ensure they meet individual vision care needs.

What Else Doesn’t Medicare Cover?

There are ten things that Medicare doesn’t cover:

  1. Vision Care
  2. Hearing Services
  3. Dental Care
  4. Overseas Care
  5. Podiatry Services
  6. Cosmetic Surgery
  7. Acupuncture
  8. Massage Therapy
  9. Nursing Home Care
  10. Concierge Care

Can I Answer Any Questions for You?

If you have any questions, I’m always happy to help you figure out what coverage you have and what additional coverage you may need.

Understanding what Medicare does not cover is crucial for individuals seeking comprehensive healthcare coverage. By familiarizing themselves with the limitations and gaps in Medicare coverage, individuals can make informed decisions and plan accordingly to avoid unexpected expenses.

Remember, being well-informed about Medicare’s coverage gaps empowers individuals to take control of their healthcare decisions. By exploring supplemental coverage options, individuals can create a comprehensive healthcare plan that meets their specific needs while ensuring financial security.

It is my life’s mission to help fellow seniors understand Medicare and make sure you have the coverage that best meets your needs.

Contact me today, I’m here for you!


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