Fair Square Medicare Wordmark

Does Medicare Cover Scleral Lenses?

scleral lenses

By Daniel Petkevich

Dec 5, 2022

Typically not but there are exceptions

Typically, scleral lenses are not covered by Medicare. There might be some circumstances when your doctor deems them medically necessary, in which case you would get coverage. And there might be some Medicare plans that offer extra vision coverage. Read more to find out which plans might provide coverage.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

What are Scleral Lenses?

Scleral lenses are large, custom-made contact lenses designed to rest on the white part of your eye (the sclera). They have a comfortable fit and are used to treat conditions such as dry eyes, keratoconus, and post-surgical complications.

How do Scleral Lenses work?

Scleral lenses are different from regular contact lenses. Instead of fitting on the cornea, they rest on the sclera, which helps provide a more comfortable fit and better vision stability for those with complex eye conditions. The back surface of these lenses is designed to vault over the entire corneal surface and provides a tear-filled space between the lens and the eye. This helps to keep the cornea well-hydrated and comfortable all day long.

What are the benefits of using Scleral Lenses?

The use of scleral lenses allows for better vision and comfort in people with certain eye conditions. They also provide superior protection against infections and irritations, as the vaulting over the corneal surface helps to protect it from dust and debris. Additionally, these lenses can help reduce or eliminate other symptoms like dryness and light sensitivity.

Does Medicare cover Scleral Lenses?

Medicare does not currently cover scleral lenses. However, you might get coverage if your doctor says that your scleral lenses are medically necessary. Some

Medicare Advantage plans

may provide coverage for these specialized lenses. Be sure to check with your provider to see if there are any available benefits for you. Additionally, many eye care centers offer financial assistance programs or payment plans that can help make scleral lenses more accessible and affordable.

If you have any questions about scleral lenses and whether or not your insurance will cover them, don’t hesitate to reach out to your eye care provider for more information. They can help you explore all your options to get the best possible vision care for your unique needs.

How to get a prescription for Scleral Lenses?

If you think scleral lenses are right for you, it’s important to start by getting a comprehensive eye exam from an optometrist or ophthalmologist. They will be able to assess your vision needs and provide you with a prescription for the appropriate type of lens.

Once the doctor has recommended scleral lenses, you’ll need to get a fitting with an experienced contact lens specialist. This is important since scleral lenses are custom made and require a precise fit for the best vision and comfort. During the fitting process, your eye care professional will measure your eyes, evaluate your vision needs, and make necessary adjustments to ensure that the lenses fit properly.

Where to find affordable Scleral Lenses?

If you’re looking for more affordable scleral lenses, there are a few options available. Many eye care centers offer discounts and payment plans that can help make these lenses more accessible and affordable. You can also ask your provider if they accept any insurance or discount programs that could help reduce the cost of your lenses. Finally, you may be able to find scleral lenses online from certain retailers. However, it’s important to make sure that the lenses you purchase are of good quality and are properly fitted by a qualified eye care professional.

Takeaway

Medicare does not currently cover scleral lenses; however, some Medicare Advantage plans may provide coverage. To see if scleral lenses are right for you, have a conversation with your doctor or optometrist. This content is for informational purposes only. For questions about your Medicare plan, give us a call at Fair Square Medicare.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Recommended Articles

Medicare research stock image

Medicare Consulting Services

Apr 3, 2023

various people wearing masks due to the COVID-19 pandemic stock photo

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

Mar 3, 2023

Medigap stock image

When Can You Change Medicare Supplement Plans?

Nov 18, 2022

Cover image

The Fair Square Bulletin: October 2023

Oct 2, 2023

Senior man receiving care from an optometrist stock photo

Does Medicare Cover Cataract Surgery?

Dec 22, 2022

Nasal spray stock image

Can Medicare Help with the Cost of Tyrvaya?

Jan 12, 2023

Medsupp Thumbnail

Plan G vs. Plan N

Jan 28, 2022

Close up top view of a woman showing a round-shaped Lipoma fatty tumor on an open palm stock photo

Does Medicare Cover Lipoma Removal?

Dec 8, 2022

Kidney stone stock image

Does Medicare Cover Kidney Stone Removal?

Nov 23, 2022

Cover image

When to Choose Medicare Advantage over Medicare Supplement

Jun 7, 2023

Daniel Petkevich demonstrates Medicare coverage by using a scarf and hat as a metaphor

Medicare 101

May 20, 2020

An illustrated image of a cartoon man using giant scissors to cut the "T" in the word "Tax"

How to Deduct Medicare Expenses from Your Taxes

Dec 28, 2022

Cover image

The Easiest Call You'll Ever Make

Jun 28, 2023

Nashville city skyline stock image

14 Best Ways for Seniors to Stay Active in Nashville

Mar 10, 2023

Saving money against a stopwatch stock image

What is the 8-Minute Rule on Medicare?

Dec 21, 2022

senior gentleman wearing a suit working on his laptop outside of his office stock photo

How Your Employer Insurance and Medicare Work Together

Sep 27, 2022

Dripping medication stock photo

Does Medicare Cover Ketamine Infusion for Depression?

Nov 23, 2022

Man with disability and service dog stock photo

Does Medicare Cover Service Animals?

Nov 29, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Philadelphia

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways for Seniors to Stay Active in Seattle

2024 Fair Square Client Retention and Satisfaction Report

Can Doctors Choose Not to Accept Medicare?

Can I switch From Medicare Advantage to Medigap?

Can Medicare Advantage Plans be Used Out of State?

Denied Coverage? What to Do When Your Carrier Says No

Do I Need to Renew My Medicare?

Do You Need Books on Medicare?

Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover Abortion Services?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover COVID Tests?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Jakafi?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Linx Surgery?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Macular Degeneration?

Does Medicare Cover Mental Health?

Does Medicare Cover Nuedexta?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Ozempic?

Does Medicare Cover Penile Implant Surgery?

Does Medicare Cover Piqray?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover TENS Units?

Does Medicare Cover Vitamins?

Does Medicare Cover Wart Removal?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Antivenom?

Does Medicare Pay for Funeral Expenses?

Does Medicare pay for Opdivo?

Does Medicare Require a Referral for Audiology Exams?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Plan Include A Free Gym Membership?

Fair Square Client Newsletter: AEP Edition

How Do I Sign up for Medicare? A Simple How-To Guide For You

How Do Medicare Agents Get Paid?

How Do Medigap Premiums Vary?

How Medicare Costs Can Pile Up

How Much Does a Pacemaker Cost with Medicare?

How Often Can I Change Medicare Plans?

How to Apply for Medicare?

Is Emsella Covered by Medicare?

Is Gainswave Covered by Medicare?

Medicare & Ozempic

Medicare Advantage MSA Plans

Medicare Advantage Plans for Disabled People Under 65

Medicare Guaranteed Issue Rights by State

Medigap Plan N vs. Plan G — Which One Fits You in 2025?

Saving Money with Alternative Pharmacies & Discount Programs

Welcome to Fair Square's First Newsletter

What Are Medicare Part B Excess Charges?

What If I Don't Like My Plan?

What Is a Medicare Advantage POS Plan?

What is a Medicare Beneficiary Ombudsman?

What Is a Medicare Supplement SELECT Plan?

What Is the Medicare Birthday Rule in Nevada?

What is the Medicare ICEP?

What People Don't Realize About Medicare

What to Do When Your Doctor Leaves Your Network

Which Medigap Policies Provide Coverage for Long-Term Care?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.

Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M