● Medicare FFS only covers: annual eye exam in diabetics, annual glaucoma testing in high risk (diabetics, fam hx of glaucoma, >50yrs and african american, >65yrs and hispanic), certain tests/treatments for age related macular degeneration, and one pair of glasses after approved cataract surgery with an intraocular lens (1, 2)

● Medi-Cal covers routine eye exams every 2 years (3)

● Medi-Cal also covers glasses for residents of nursing homes, contact lenses if eyeglasses are not possible, low vision testing for individuals with impairment not corrected by glasses/contacts/medicine/surgery, and certain artificial eye services (4)

References:

1. Eyeglasses & contact lenses - Your Medicare Coverage

2. https://www.aarp.org/health/medicare-qa-tool/does-medicare-cover-vision-care.html#:~:text=If%20you're%20at%20high,Hispanic%20and%2065%20or%20older.

3. Medi-Cal Benefits: Vision | Covered California™

4. Medi-Cal Vision Benefits

Version: GJ 12/1/2024