Vision Benefit

Preserving your best vision is an important part of taking good care of your overall health.

In addition to the vision-related benefits covered by Original Medicare, your Martin’s Point Generations Advantage plan offers extra benefits that go beyond Original Medicare.

Services Covered by Original Medicare

• Medicare-Covered Eye Exam: Copay varies by plan $0-$45 for outpatient physician services for the diagnosis and treatment of diseases and injuries of the eye, including treatment for age-related macular degeneration.

• Medicare-Covered Eyewear after Cataract Surgery: 20% Coinsurance for one pair of eyeglasses or contact lenses after each cataract surgery that includes insertion of an intraocular lens. See your Evidence of Coverage for details.

 Member Reimbursement Request for Medical Services (PDF)

Note: Within a year of the date of service, reimbursement paperwork must be received. When submitting, kindly include the itemized proof of payment.

Extra Benefits Beyond Original Medicare

• $0-Copay Annual Routine Vision Exam: You pay a $0 copay for one routine vision exam per year. This benefit includes a diabetic (dilated-pupil) eye exam for people with diabetes and glaucoma screening for those at high-risk for glaucoma. See your Evidence of Coverage for details.

• Eyewear Reimbursement: Your plan reimburses up to an annual amount for prescription lenses, frames, and contact lenses for the purpose of correcting/improving a member’s vision. Amount varies by plan (see below).

• Benefit Maximum: A benefit maximum is a dollar limit on a service. The benefit maximum varies by plan: