Cataract Coverage: Eyewear after Surgery
Enhance your vision post-surgery with easy-to-use coverage.
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.
NOTE: This benefit is covered under Medicare Part B and included in your Generations Advantage plan. It is exclusively for use to purchase eligible eyewear AFTER cataract surgery. It is separate from your extra Prescription Eyewear reimbursement benefit which goes beyond Original Medicare.
No Authorization Required—Quickly access the eyewear you need, without unnecessary delays.
Understanding Your Coverage
Coinsurance amounts may vary depending on your plan. Please refer to your Evidence of Coverage (EOC) for detailed information.
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Benefit features include coverage for:
- 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 done before you became Medicare eligible.
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Qualifying - 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 a 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.
How to Get Reimbursed
Submit your reimbursement
Submitting your reimbursement request is straightforward and user-friendly. Here’s how:
Use the Medical Services Reimbursement Form [PDF] when submitting your reimbursement.
- 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!
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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.
Reimbursement deadlines
- 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.
Need help? We're here for you.
Whether you’re exploring plan options or already a Generations Advantage member, our team is ready to help.
Prospective Members: Call us at 1-800-961-4572 (TTY: 711)
Current Members: Call Member Services at 1-866-544-7504 (TTY: 711)