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.
- Eyewear After Cataract Surgery: If you've had cataract surgery, learn about your eyewear benefits on our Eyewear After Cataract Surgery page.
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). This benefit is separate from your plan’s post-cataract surgery eyewear benefit which is covered under Medicare Part B.
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
USING YOUR VISION BENEFIT: A STEP-BY-STEP GUIDE
Step One: Does Your Purchase Qualify?
Check to make sure that the item/service you want to purchase qualifies for reimbursement.
Please see the complete list of eligible items for the 2024 plan year.
The list of qualifying items and services can be found below this step-by-step guide.
Step Two: Purchase Item/Service
Purchase your qualifying item(s) or service(s) and make a copy of your itemized receipt(s) and proof of payment.
Purchases must be made during the plan year and for use during the plan year.
Purchases cannot be made prior to the plan year.
Step Three: Submit for Reimbursement Online or by Mail
New for 2024! Online Reimbursement Request
Use our new online reimbursement option for easier submission and quicker processing!
2024 REIMBURSEMENT REQUEST BY MAIL: Our new combined form allows you to request reimbursement for items eligible under your Wellness Wallet benefit and/or items purchased under your prescription eyewear benefit. Items must have been purchased while enrolled in a Generations Advantage plan in 2024 for use beginning in 2024. Download, print, and complete this form before mailing.
2024 Member Reimbursement Form Wellness Wallet/Eyewear
2023 REIMBURSEMENT REQUEST BY MAIL: For items or services purchased while enrolled in a Generations Advantage plan in 2023, download the 2023 version of the Wellness Wallet Reimbursement Form. These must be submitted by March 31, 2024.
VISION & EYEWEAR COVERAGE WHAT ITEMS/SERVICES QUALIFY?
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
Save on Eyewear through Your Dental Benefit:
Your Martin’s Point Generations Advantage dental benefit, administered through Northeast Delta Dental, not only takes care of your dental health but also your vision. Through your dental benefit, you have access to eyewear discounts offered through EyeMed (note: eye exam is not available through this benefit):
- Exclusive EyeMed Eyewear Discounts: Save on an array of eyewear options, including designer frames and contact lenses, with significant discounts off retail prices.
- Access Your Savings: To use your EyeMed discount, visit EyeMed Vision Care or call 866-246-9041. Simply say "Benefits" when prompted and specify whether you are looking for glasses or contacts. Follow the prompts to state the type of lenses you need.
- Nationwide Retailer Network: Choose from an extensive network of retailers for your eyewear, such as LensCrafters, Target Optical, and Pearle Vision. Provide your EyeMed Group Number 9231093 at the time of purchase.
For more information about how to take advantage of your savings with EyeMed, please see the EyeMed Vision Care FAQs.