Queenston Eye Care

1. Medicare does not cover eyeglasses or contact lenses except some patients are eligible for 1 pair of glasses following cataract surgery.  Ask our staff if you are eligible.

2. Medicare does not cover the refraction part of the exam.

3. Medicare does not cover any services unless we make a medical diagnosis.  If your ONLY diagnosis is myopia (nearsightedness), hyperopia (farsightedness), astigmatism, or presbyopia, Medicare will not pay for any services. If there is a billable diagnosis, we will not know until the exam.

The patient must pay an annual deductible toward any qualified health care before Medicare will pay for any services. After the deductible has been met for the year, Medicare will pay 80% of their “approved fee” and the patient pays 20% as a co-payment plus any non-covered fees.

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If the patient has supplemental insurance (such as Blue Cross) it may cover the cost of the deductible and the co-payment. Our office will bill Medicare and accept payment directly from them if the services qualify for Medicare coverage (see exceptions below).

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Any charges that Medicare will not cover are payable by the patient at each visit.