Original Medicare generally does NOT cover eyeglasses or contact lenses. There is one important exception: Medicare Part B covers one pair of standard eyeglasses or one set of contact lenses following cataract surgery with an intraocular lens implant.
The Post-Cataract Surgery Exception
After cataract surgery where an intraocular lens (IOL) is implanted, Medicare Part B covers:
- One pair of standard frames with basic lenses, OR
- One set of contact lenses
If you choose premium frames or upgraded lenses beyond the standard Medicare benefit, you pay the difference. Ask your eye doctor what Medicare will cover before selecting your frames.
Getting Eyeglass Coverage Through Medicare Advantage
Many Medicare Advantage plans include a vision benefit:
- Routine eye exam (usually once per year)
- Annual allowance toward frames and lenses ($100–$300 on most plans)
- Some plans offer enhanced vision benefits with higher allowances
If eyeglass coverage is important to you, prioritize it when comparing Medicare Advantage plans.
Affordable Eyeglasses for Seniors Without Coverage
- EyeBuyDirect, Zenni, and Warby Parker offer frames starting at $6–$30 online
- Costco Optical — significant savings on in-store exams and glasses
- Lions Club Recycle for Sight program — free eyeglasses for low-income seniors
- VSP Vision Care — standalone vision insurance plans available to seniors
