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    Vision Insurance Coach

    Glasses + eye exams. The real options.

    What Medicare covers

    • Original Medicare: covers cataract surgery + ONE pair of glasses afterward. Otherwise, no coverage.
    • Diabetic eye exam — fully covered annually if you have diabetes.
    • Glaucoma screening — covered annually if high risk.
    • Macular degeneration treatment — covered.
    • Routine eye exams + glasses for vision correction — NOT covered by Original Medicare.

    Vision plans

    • Medicare Advantage — most plans include eye exam + $100-200 frame allowance + lens coverage.
    • VSP Vision — biggest standalone vision insurer. About $15-30/month.
    • Davis Vision / EyeMed — competitors.
    • AARP Eye Care — discounts for members at 7,500+ providers.
    • Costco Optical — even non-members get great prices on cash-pay.

    Cheap glasses online

    • Zenni Optical — $7-30 frames. $50-100 even with progressive lenses.
    • EyeBuyDirect — similar prices, more design.
    • Warby Parker — $95 single-vision, $150 progressive. Premium feel, "home try-on" of 5 frames free.
    • GlassesUSA — wide range.

    All require a current prescription (under 1-2 years old). Get prescription from any optometrist — they MUST give it to you (federal law).

    Get a copy of your prescription

    1. After your eye exam, ask: "May I have a copy of my prescription?". They MUST hand it over.
    2. Includes both glasses + contact lens prescription if applicable.
    3. Take a photo of it. Save in your phone Notes for online ordering.
    4. Valid for 1-2 years depending on state.

    PD measurement (online glasses)

    PD = Pupillary Distance. Online glasses sites need it. The optometrist may not include it on the prescription. Options:

    • Ask the optometrist — they MAY include for free, or charge.
    • Use an online tool — Warby Parker has a free app to measure.
    • Measure with a friend and a ruler (look up "how to measure PD").

    Don\'t skip annual eye exam after 60

    Glaucoma, macular degeneration, cataracts often have NO symptoms until late. Annual eye exam covered by Medicare for diabetes, high-risk glaucoma. Otherwise out-of-pocket $50-150. Worth it.