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Eye Care - Following Cataract Surgery Medicare Coverage Detailed

Your Medicare Coverage

Eye Care - Following Cataract Surgery Detailed

Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.

Following each cataract surgery with insertion of an intraocular lens, Medicare can help pay for one pair of conventional eyeglasses or contact lenses provided by a supplier that is authorized to provide such services in your state.
Important:

  • Only standard frames are covered. (You may purchase upgraded frames, but you will be responsible for paying the difference between the Medicare-approved amount for the standard frames and the cost of the upgraded frames).
  • Lenses are covered even if you had the surgery before you had Medicare.
  • Payment may be made for lenses for both eyes even if the cataract surgery only involved one eye.

CoPayment: The amount you need to pay.

You pay 20% of the Medicare-approved amount for one pair of “standard frame” eyeglasses or contact lenses after each cataract surgery with an intraocular lens. If you choose to purchase “upgraded frames,” you will pay any additional expenses associated with the “upgraded frames.”

Medicare Part: The part of Medicare that pays for this service or supply.

B

Organization Name: The organization name that this coverage topic is associated with.

Important Notes: Details regarding important notes about the coverage.

You must pay an annual $147 deductible for Part B services and supplies before Medicare begins to pay its share.