Contact and Eyeglasses After Cataract Surgery

Enhance Your Vision Post-Surgery

We recognize the importance of clear vision following your cataract surgery. Our plan is designed to support you by covering one pair of eyeglasses or contact lenses after each cataract operation with an intraocular lens implant.

Simplified Coverage, No Hassles

• No Authorization Required: Quickly access the eyewear you need, without unnecessary delays.

• Coverage Details:
  
  
  • Standard Frames: Choose from a variety of stylish standard frames covered by our plan.
  
  
  • Special Lenses: If recommended by your doctor, UV absorbing or reflecting lenses may be included.
  
  
  • Both Eyes Covered: Coverage extends to both eyes, even if surgery was only on one.
  
  
  • Eligibility Post-Surgery: Lenses are covered even if the surgery was performed before you became Medicare eligible.
  
  
  • For more details: See your Evidence of Coverage.

Freedom of Choice

• Choose Your Retailer: You have the flexibility to purchase your eyewear from any licensed retailer that accepts Medicare for your eyeglasses or contact lenses. This includes many eye doctors who are licensed to sell prescription eyewear. If you're unsure, simply ask your provider if they're licensed retailer that accepts Medicare.

• Flexibility in Eyewear Selection: Feel free to select the eyewear that best suits you. Whether it's from the same place where you had your eye exam or elsewhere, the choice is yours.

Transparent Costs

• Co-Insurance: Your contribution is only 20% coinsurance in-network and out-of-network.

• Out-of-Pocket: We maintain clear limits for both in-network and out-of-network services. 

Submit with Confidence

Submitting your reimbursement request is straightforward and user-friendly. Here’s how:

Use the Medical Services Reimbursement Form (PDF) when submitting your reimbursement. 

1. Reimbursement Eligibility: Choose from a wide range of stylish, standard frames at any Medicare-approved licensed retailer, and enjoy the clarity and comfort you deserve!



2. Documentation Requirements:

   • Copies of Receipts: Provide copies of the itemized receipt and proof of purchase for each item/service. This ensures we have all the necessary details to process your request.
   
   
   • Proof of Payment: Attach copies of your payment evidence, such as bank or credit card statements or receipts. Please do not send original documents.

Timely Submission for Reimbursement

• Deadline: Ensure you submit your reimbursement request within ONE year of the service date.


• Complete and Accurate: Incomplete information may delay or deny your claim. Payment typically arrives within 4 to 6 weeks of submitting complete documentation.