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).

Log in or sign up
Have questions? We’re here to help.

Speak with a representative 8AM-8PM: daily from October to March 31; and weekdays for the rest of the year.

Current Members:
1-866-544-7504 (TTY:711)

Explore More Benefits

Benefit Maximums by Plan

The following chart details the maximum reimbursement amounts for each Generations Advantage plan.

*Belknap, Carroll, Coos, and Grafton Counties, NH
**Cheshire, Hillsborough, Merrimack, Rockingham, Strafford, and Sullivan Counties, NH

eyewear icon


green check mark

STEP ONE: Does Your Purchase Qualify?

Make sure the item you want to purchase qualifies for reimbursement (see list on right).

green check markSTEP TWO: Purchase Items

Purchase your qualifying items (prescription lenses, frames, and/or contact lenses) and make a copy of your itemized receipt and proof of payment.

green check markSTEP THREE: Submit Your Reimbursement Request

2023 Reimbursement: Download the 2023 Eyewear Reimbursement Form and follow the instructions found on the form to get reimbursed for items or services purchased while enrolled in a Generations Advantage plan in 2023. (Note: 2023 reimbursement forms must be submitted by March 31, 2024)

2024 Reimbursement: Reimbursement details coming soon.

verify icon


The following items and services are covered under the Eyewear Reimbursement Benefit:

  • Standard Frames
  • Standard Lens
  • Standard Contact Lens
  • Progressive Lenses
  • Lens Tint
  • Hi-Index Lenses
  • Deluxe Frames
  • Deluxe Frame Feature
  • Mirror Coating
  • Polarization
  • Lens Tint
  • UV Coating
  • Scratch Resistant Treatment
  • Prisms
  • Oversized Lenses
  • Bifocal Lenses
  • Trifocal Lenses
  • Bifocal Contact Lenses
  • Base Curve Lens
  • Occluder Lens