Medicare

We are participating providers with Medicare at Portland Eye Care.  Medicare does not generally cover routine vision exams or glasses, but it does cover medical eye care.  This means that if you visit our office for eye care related to a medical eye condition such as cataracts, macular degeneration, dry eye syndrome, ocular allergies, or glaucoma, you will generally be able to use your Medicare coverage to pay for your eye care and you will only be responsible for co-pays or coinsurance amounts.  However, if you would like to visit our office for a routine eye examination to obtain a prescription for glasses to correct nearsightedness or farsightedness, then you will generally need to pay out of pocket for your exam and glasses, as routine vision care is not a covered service.  One exception to this rule is that Medicare does cover one pair of glasses after cataract surgery, however there is some extra paperwork and conditions associated with this benefit, so be sure to check with our office for guidance if you think you may qualify for this.

If you have secondary insurance to supplement your Medicare coverage, your secondary insurance may cover your medicare copay or coinsurance.  In some cases you may have routine vision coverage through your secondary insurance.  Because there are many different supplemental plans, it is important to fill out our online registration form and include your vision, medical, and any secondary insurance information so we can verify your coverage for you before your visit.

You can find our online registration form at the right side of the menu bar at the top of this page, marked “ONLINE FORM.”  Please also remember to bring your Medicare card and any supplemental insurance cards to your visit with us.  If you have any questions about your insurance coverage or benefits, please don’t hesitate to contact our office and we can help you better understand your coverage and likely out of pocket expense.