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Medicare Eye Exams

Poudre Valley Eyecare accepts Medicare for medical eye exams. We recommend an annual eye exam to ensure eye health. Book your appointment today.

Vision care is essential to factor into your healthcare coverage. Three in four adults suffer from chronic eye conditions and/or vision impairment, warranting specialized treatment and care. Medicare offers vision coverage under many plans, but coverage may vary depending on the plan you qualify for. It’s important to double-check the details of your plan before electing for vision coverage. 

At Poudre Valley Eyecare, our dedicated team will help you understand what eyecare services are covered under your insurance. Many of our patients in the Fort Collins, CO area utilize their Medicare insurance for vision coverage, but other options may be necessary depending on your unique eye care needs.

Does Medicare cover routine eye exams?

*Please note: Medicare requirements may change from time to time. This is our understanding of coverage at this point, but we cannot guarantee that it is accurate. If you’d like to know for sure whether you’ll be covered, please give us a call and our staff can give you an up-to-date answer to your question.

When first joining Medicare, Medicare Part B users have the option to receive a vision test as part of their “Welcome to Medicare” preventive visit. The test is simple, and it isn’t as comprehensive or in-depth as a proper eye exam. This test is available only within the first year of your Medicare coverage. However, all adults are recommended to have a yearly routine eye exam to maintain eye health – especially those suffering from diabetes or related eye diseases. Under this circumstance, Medicare Part B will cover patients’ yearly eye exams. They may also offer coverage to diagnostic exams, but this coverage is given on a case-by-case basis.

Long story short, basic Medicare does not cover routine vision care, but it does cover medical eye exams. That means most patients who qualify for medicare can get some or all of their exam and treatment covered. This includes evaluation for cataracts, dry eyes, and other common medical eye issues. Similarly, medicare will cover office visits and exams to treat chronic eye issues.

Medicare typically does not cover the refraction part of the eye exam (the part required to get your glasses or contacts). If you’re unsure, give us a call and we’ll help you determine what you may be eligible for.

Does Medicare cover glasses & contacts?

Medicare does not cover the expenses for eyeglasses or contact lenses. However, Medicare Part B will help cover the expense of frames or glasses following a cataract operation. Medicare patients in need of cataract surgery may benefit from this coverage, as the cataract surgery will likely be covered under Medicare, too. Otherwise, Medicare patients pay 100% for eyeglasses or contact lenses.

Designing Your Eyecare Treatment Plan

At Poudre Valley Eyecare, our optometrists can help you take control of your eye health by performing a comprehensive eye exam and designing a treatment plan that meets your needs. Our family-run practice offers premier eye care to the Front Range of Colorado, including Fort Collins, Loveland, Wellington, Timnath and Greeley. 

For more information and guidance around your vision and eyecare treatment plan, contact our team today. Find detailed information about your Medicare coverage at MyMedicare.gov.

Why Choose Us?

Our advanced technology and individualized care deliver results for patients of all ages. Our routine exams allow us to spot changes in your vision and allow us to treat those changes early. We have a comprehensive understanding of eye care, which means we can treat a wide range of conditions and chronic diseases. Our in-depth routine exams and customized treatment plans set us apart from the rest.