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Medicare Vision Benefits General Information Guidelines & FAQs Updated March 2018

Medicare is the federal government’s way of providing healthcare assistance to the eligible members and those people who need it most. For the Medicare Vision Benefits, the government has numerous programs and healthcare coverage to ensure that the people have good eye sight.

In this regard, there are Medicare vision benefits for eligible and their beneficiaries. Among the most common information that you need to know about the Medicare vision benefits are the following:

Who is Eligible

The government gives priorities to qualifying citizens who are 65 years old and above to be eligible for Medicare vision benefits. These individuals are those who are to old to work and earn income to support their healthcare needs.

People with specified disabilities and those who are classified to have low income than the average level are also eligible for Medicare vision benefits.

What Covers the Benefits

Depending on the state you are living in, Medicare has different eligibility programs and benefits for qualified individuals. For most states, children who are younger than 21 years old and in the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program can avail eye exams, eyeglass frames and lenses for their vision benefits.

For adults, the state will determine how frequently a vision benefit is claimed annually. Some of the most common Medicare vision benefits for adults include Medicare Part A or Hospital Insurance.

Medicare Part A helps pay the expenses, prescription drugs and medicine. Emergency room attention is also covered. However, routine eye exams are not included. Some Medicare programs in some states also cover surgery for cataract.

Requirements to Be Eligible in Medicare Vision Benefits

Each state has different sets of policies when it comes to determining the eligible individuals for the healthcare programs – specifically for the vision benefits. Among the most common requirements is that the individual must be a resident of a certain state in a specific period of time.

An individual must also fall under the age identified by the Medicare. It is also required that an individual falls under a specific income bracket to be an eligible Medicare beneficiary.

Be Informed

It is very important to be informed especially when it comes to taking care of your eyes.  This is why the government offers a helpline where people can ask for their vision benefits concern.