Medicare does not pay for routine vision exams or refractions. Medicare beneficiaries may choose to have a routine or annual eye examinations performed, but the patient is responsible for full payment for these examinations on the day of service.
Some Medicare beneficiaries may have “vision benefits” that cover routine eye examinations through their secondary or supplementary insurance.
Insurance coverage often changes from year to year. However, it is the patient’s responsibility to know what their insurance plans cover and what they do not.