Medicare Vision Coverage

Vision Coverage With Anthem Medicare Plans

Anthem offers dental and vision coverage packages to complement certain Medicare plans. Vision coverage is not offered as a standalone plan—it is only offered as part of a combined dental/vision package.

If you have a Medicare Advantage plan, you may already have vision care that includes eye exams and eyewear. Many of these plans also have dental and hearing coverage too.

The majority of Medicare Supplement plans do not include vision care except when the service is covered by Medicare. If you have a Medicare Supplement plan, Part D plan, or both, you can purchase an Anthem Extras package to cover eye care, including eye wear. For example, Part B will partially cover your eye exams if you’re at higher risk for eye complications such as glaucoma or macular degeneration. Medicare can also cover medically necessary surgery, such as cataract removal.

If you only have Original Medicare, it doesn’t cover vision exams or eye care, except in certain circumstances.

Learn more about Original Medicare and vision coverage.

Anthem Extras Vision Coverage

 

With an Anthem Extras package, you can choose dental and vision coverage or dental coverage only. These convenient packages complement a Medicare Supplement, Part D, or Original Medicare plan. Our packages offer varying levels of coverage, so you can choose the one that best fits your needs and budget.

To find an Anthem Extras plan, enter your ZIP code to see plans available in your area. If available, each plan will have an option to add dental and vision packages.

 

Vision coverage is not offered as a standalone plan—it is only offered as part of a combined dental/vision package. The amounts shown reflect vision coverage when combined with a Standard, Premium or Premium Plus dental plan.

 

Please call us to explore your options or purchase a plan.


VISION BENEFITS


STANDARD*


PREMIUM*


PREMIUM PLUS*


Vision Examination (once every 12 months)


$20 copay


$20 copay


$10 copay


Eyeglass Frames (once every 24 months)


$100 allowance


$100 allowance


$130 allowance


Eyeglass Lenses (standard plastic) (once every 24 months)


$20 copay


$20 copay


$10 copay


Contact Lenses (once every 24 months)


$80 allowance


$80 allowance


$80 allowance

Note: These percentages apply to in-network providers only.

 

If you do not have a Medicare Supplement plan but need a separate dental and vision package to complement Original Medicare‡ or a Part D plan, please call us. 

   

Check If Your Eye Doctor Is In The Plan

You will have lower costs if you use eye doctors in your plan. We have a large network of providers, and you can easily check if your current eye doctor is in the plan. 

   

Eye Care With Medicare Advantage

 

The majority of our Medicare Advantage (Part C) plans include benefits for prescription drugs, dental, vision, and hearing. What your plan covers will vary depending on where you live, but typically includes:

 

    Routine eye exams

 

    A yearly allowance for eyewear

 

Some Medicare Advantage plans also have optional supplemental benefits, that will boost your dental and vision coverage for an additional premium. You can add these benefits up to 90 days after your plan starts.

Enrolling In An Eye Care Package

If you’re not yet enrolled in a Medicare plan

If an eyewear package is available with the Medicare Advantage or Medicare Supplement plan, you can add it to your application. 

If you’re already enrolled

If you’re currently enrolled in a Medicare Advantage or Medicare Supplement plan, please call us. We can help you add dental and vision benefits to your existing plan. 

  Original Medicare: Part A (Hospital Insurance) and Part B (Medical Insurance).

 

Anthem Blue Cross is an HMO & LPPO plan with a Medicare contract. For Dual-Eligible Special Needs Plans: Anthem Blue Cross is an HMO SNP plan with a Medicare contract and a contract with the California Medicaid program. Anthem Blue Cross Life and Health Insurance Company is an LPPO plan with a Medicare contract. Enrollment in Anthem Blue Cross depends on contract renewal.