Skip to content

Medicare Coverage for Eye Exams in Seattle

Cannon EyeCare in Seattle is committed to assisting you in understanding your Medicare benefits for eye care. We recognize the importance of accessible, quality eye care and strive to simplify the insurance navigation process. We are here to clarify Medicare coverage for eye exams in the Seattle area.

Does Medicare Cover Routine Eye Exams?

While Original Medicare (Part B) does not cover routine eye exams like a check of your glasses or contact lens Rx, it does cover medical eye exams and related testing. This includes the health exam part of annual eye exams for individuals with diabetes, glaucoma, macular degeneration, dry eye, cataracts and other eye diseases.  Checking your glasses Rx or updating your contact lens Rx is typically paid out of pocket in these cases. 

What is Covered Under Medicare Part B?

  • Annual eye exams for medical conditions: If you have diabetes, glaucoma, macular degeneration, or other eye diseases, Medicare Part B will cover your yearly eye exam.
  • Diagnostic eye exams: When medically necessary, Medicare may also cover diagnostic tests and exams.
  •  Treatment for eye conditions: Medicare covers treatment for cataracts, dry eye, and other common medical eye issues.
  • Office visits for chronic eye conditions: Medicare will cover part of your follow up visits for the management of chronic medical eye problems.

Understanding Medicare Advantage Plans

It’s important to note that Medicare Advantage plans (run by private for-profit companies) often have limitations on coverage and provider networks.

For the most comprehensive coverage and flexibility in choosing your eye doctor, we recommend Original Medicare Part B or Medicare with a supplement. Medicare advantage plans make it much less likely for us to be able to bill your insurance.

How Cannon EyeCare Can Help

Our team at Cannon EyeCare is experienced in helping patients maximize their Medicare benefits. We can:

  • Verify your insurance coverage: Email us images of your Medicare and supplemental insurance cards, and we’ll provide an up-to-date answer regarding your coverage.
  • Explain your benefits: We’ll clearly explain what services are covered and any potential out-of-pocket costs. If deductibles have not been met, you should expect some expense.
  • Provide comprehensive eye care: From routine annual check-ups to managing complex eye conditions, we offer a full range of services.

Schedule Your Appointment Today!

Don’t delay optimizing your eye health. Schedule your appointment with Cannon EyeCare today, especially if you’re searching  “Medicare eye exams near me” in the Seattle metro area. We’re committed to providing you with exceptional eye care.

Call us at (206) 448-7739 or click here to schedule online.