Understanding Medicare and Medicare Optometrist

Patients without insurance are not always in the best position to afford healthcare services. This condition enforces the importance of having an apt healthcare insurance. Medicare is one such option.

What is Medicare?

Medicare is a universal health scheme, which seeks to cover provision of health benefits to citizens at minimal or no cost. Health Industry is huge and to cover all the areas, Medicare has divided its operative field into four sections.

Different types of Medicare available

There are different parts in which the Medicare is divided into, and these parts are known as Part A, B, C, and D.

  1.  Part A of Medicare: This part of the Medicare helps cover the inpatient stay in hospital. Hospice care, nursing care, and things like these are taken care of. The eligible participants are offered this part with not cost involved.
  2.  Part B of Medicare: Some of the outpatient visits such as laboratory services, doctor’s visits, radiology, and some of the medical devices are covered. Usually, the participants are made to pay a premium for this part based on the income that they have.
  3.  Part C of Medicare: In some instances, the medical recipients prefer to receive their benefits from a private insurance company. These companies get partial funds by the federal governments, and this may include things such as deductibles, co- pay, and patients’ responsibilities and so on.
  4. Part D of Medicare: This portion helps cover the prescription drugs that are medically necessary. Based on their income, the participants have to pay their premium.

Eligibility criteria for Medicare

Medicare is not for all individuals. This option is only accessible to a select few who fit under the specific category. This facility is available for people who are:

  • 65 years old or above and along with their spouses have paid close to 10 years of the taxes
  • The ones that are receiving and benefiting from the social security disability benefits from the last two years
  • If the person has end stage renal disease (ESRD) or the ones that are in the need of kidney transplant

Who is an Optometrist?

Optometrist is an eye doctor holding a degree of Doctor of Optometry. An optometrist provides services for vision and health issues. They are specialists in correcting eye imparities. He can also be referred to as general ophthalmologist.

How does Medicare optometrist work?

 Most optometrists accept Medicare for older patients when they examine an older patient under medically necessary eye care.  To simplify it, we can say that when an older patient is suffering from cataract or macular degeneration, then part of their eye checkup and the medication will be coverable under Medicare. If they are not suffering from any out of the normal eye problem and going for a routine check- up, their bills shall be payable by them.

Conditions in the eye covered under Medicare Optometrist

  • Surgery that is carried out to remove cataract in the eye
  • Prescribed sunglasses or contact lenses after the cataract surgery
  • Eye checkup that indicate grave vision problems
  • In cases of patients having diabetes or glaucoma the Medicare also covers routine eye check up

Here it is essential to know that Medicare will only cover for a patient under Medicare Optometrist when the optometrist who has conducted your cataract surgery or performed a corrective surgery on your eye is licensed to provide his services in your state.

Patients can avail benefits of Medicare Optometrist for eye glasses and contact lenses if the supplier of the lenses holds a Medicare number.

It is basically a simple chain network which involves a link between Patient: Medicare: Optometrist to enable all benefits and insurance coverage.


Jack Louis

Jack Louis is professional, informative and well qualified content creator based on Australia. He loves to write about on lot more general categories with useful information which help to get more ideas.
Follow Me:

Related Posts

Leave a Reply

Your email address will not be published. Required fields are marked *