Do Aetna Medicare Plans Cover Routine Vision Services?

Last Updated : 10/21/20183 min read

If you’re enrolled in Medicare or approaching Medicare eligibility, you may have alternative options for receiving your Original Medicare (Part A and Part B) benefits. Aetna is one of the private health insurance companies that contracts with Medicare to provide coverage under the Medicare Advantage program (also called Medicare Part C).

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Here are some benefits you may be eligible for if you enroll in a Medicare Advantage plan from Aetna.

Does Medicare cover routine vision services?

Original Medicare, Part A and Part B, may cover vision services related to specific medical conditions, such as cataracts, diabetic retinopathy, and other diseases of the eye. Medicare Advantage plans also cover these medically necessary services related to your eyes and vision. These services may include inpatient care, surgeries and procedures, and doctor visits your health-care provider believes are medically necessary to treat your condition.

Routine vision coverage, on the other hand, generally includes items and services such as annual eye exams, contact lenses, and prescription eyewear, which Medicare typically doesn’t cover. (Medicare may cover one pair of glasses or contact lenses following cataract surgery.)

Do Aetna Medicare Advantage plans cover routine vision care?

While there is no routine vision coverage under Original Medicare, Part A and Part B, some of Aetna’s Medicare Advantage plans may include coverage for annual vision exams and eyewear.

Medicare Advantage plans offer all the same coverage as Original Medicare (except for hospice care, which is still covered under Part A), but they may choose to offer additional benefits.

For example, many Aetna Medicare Advantage plans cover:

  • Prescription medications. Every Medicare Advantage Prescription Drug plan develops its own formulary, or list of covered medications. The formulary may change at any time. You will receive notice from your plan when necessary.
  • Routine dental services
  • Routine eye exams and vision services
  • Hearing aids
  • Wellness programs

Please keep in mind that these extra benefits vary from plan to plan, and not all plans are available everywhere in the U.S. You may want to compare plan details carefully before making a decision.

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If you choose to enroll in any Medicare Advantage plan, you must continue to pay your monthly Part B premium; there may be an additional monthly plan premium, as well, depending on the plan you choose. Monthly premium amounts are determined by individual Medicare-approved insurance companies, like Aetna, and may differ by location and the plan you select. You generally have to pay a copayment or coinsurance amount for most Medicare-covered services, and possibly a deductible before the plan covers these services.

Do you have questions about Aetna Medicare Advantage plans and vision coverage? Learn more about Aetna Medicare.

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