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Locate a doctor or hospital : Contact lenses and glasses!

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Medicare does not generally cover contact lenses or glasses. Nevertheless,

Medicare Part B (medical coverage) covers corrective lenses for cataract surgery. Corrective lenses can be either a pair or a whole set of contacts. There is list available eye doctors that accept medicaid. Before getting a list of local eye doctors accepting Medicaid , the first step is to verify whether your state covers the type of services you need.

Original Medicare – Your costs

Non-covered services are covered at 100%. This includes most contact lenses and eyeglasses. Once you reach the

Part B deductibleAfter each cataract surgery using an intraocular lens, you will pay 20% of the Medicare-approved corrective lens amount. For higher quality frames, you will be responsible for any additional costs. Medicare will only pay for eyeglasses or contact lenses from a Medicare-enrolled provider.

Note:

Talk to your doctor to find out the cost of your particular test, item or service. There are many factors that could affect the exact amount you have to pay.

  •     You may also be eligible for other insurance
  •     How much does your doctor charge?
  •     If the doctor accepts the assignment
  •     Type of installation
  •     Where can you find the item, test, or service?

Note:

You may be recommended by your doctor or another health care provider to receive more services than Medicare covers. It may also recommend services that Medicare does not cover. You may be required to pay for some or all of these costs. Ask your doctor why he recommends certain services. If so, ask if Medicare covers it or which part. For more information checkout there 

Things to Know

If cataract surgery is performed using traditional techniques or lasers, Medicare will cover it.

Vision care coverage

Your eyes are taken care of by vision providers. Eye care is available without the need for approval from your Primary Care Physician (PCP). To find an eye doctor, check the Provider Directory. These services include:

  •     Every 12 months, one eye exam
  •     Glasses
  •     Contact lenses are only necessary if glasses don’t have the desired effect.
  •     Children’s fashion glasses have a greater benefit. See Better Glasses for Children.

Contact Customer Service at 1-888-657-6061 for assistance if your glasses or contacts are stolen or lost.

Texas Health Steps may allow children to have more eye exams and glasses. The Star Member Handbook has more information on vision benefits.

Note:

Part C of Medicare Advantage Plans offers additional benefits beyond what Original Medicare covers, such as vision, hearing, and dental benefits. For more information, contact the plan.

 This link will allow you to search our online directory for Health Partners (Medicaid), doctors, hospitals and medical equipment.

  •     online directory

There are three options for searching providers:

  •     To find a provider based on your location, use the zip code box
  •     In the search box, enter the name of a provider, their specialty, or any other medical condition.
  •     Browse the categories at the bottom of the search page.

Search tips

  •     By selecting more search elements such as gender, language spoken, specialty and affiliation, you can reduce your results. You can also refine your search by distance.
  •     Click “More Information about this Provider” on the results page to see hours of operation, physician board certification, information about whether primary care physicians are accepting new patients and other details. To download or print your provider directory, you can also create one.
  •     For more search tips, click the “HELP” button at the top right of each directory page.
  •     To start again, click “Start new search” at top of page.

Directory updates

  •     Directory information is updated two times per week and includes all information received by the provider.
  •     For the most current information on participating providers, please contact Member Services at 1-800-553-0784 (TTY 1-877-454-847) or 215-849-9600.

You can see a specialist if you need.

Refer to your PCP first if you wish to see a specialist (except for routine vision or dental care).

Find providers who specialise in substance abuse or mental health

Call the HealthChoices behavioural healthcare organisation in your area if you need help with substance abuse or mental health. 

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