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.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

Kansas farm stock photo
Medicare Savings Programs in Kansas
Mar 22, 2023
Seattle Public Market stock image
14 Best Ways for Seniors to Stay Active in Seattle
Mar 10, 2023
alphabet_soup
How to Choose a Medigap Plan
Jan 10, 2023
Medigap plan letters on outstretched fingers stock image
How Do Medigap Premiums Vary?
Apr 12, 2023
Doctor physician consulting with male patient in hospital exam room stock photo
Does Medicare Cover Penile Implant Surgery?
Dec 9, 2022
Fair Square
Is Displacement Affecting Your Medicare Coverage?
Oct 6, 2022
Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo
Does Medicare Cover Disposable Underwear?
Dec 8, 2022
Diagnosis incontinence stock image
Does Medicare Cover Incontinence Supplies?
Dec 22, 2022
Mouth guard used to help treat sleep apnea
Does Medicare Cover Mouth Guards for Sleep Apnea?
Dec 8, 2022
Cover image
What To Do If Your Medicare Advantage Plan Is Discontinued
Feb 26, 2024
The feet of a person suffering from foot pain stock photo
Does Medicare Cover Cartiva Implants?
Nov 29, 2022
Cover image
Health Savings Accounts (HSAs) and Medicare
Jan 24, 2024
Leg bones and knees, 3d rendering. stock photo
Does Medicare Cover Boniva?
Nov 29, 2022
Washington DC stock image
14 Best Ways for Seniors to Stay Active in Washington, D.C.
Mar 11, 2023
Cover image
Why You Should Keep Your Medigap Plan
Sep 21, 2023
Cover image
Can I Change My Primary Care Provider with an Advantage Plan?
Aug 25, 2023
heart surgery stock image
How Much Does Open Heart Surgery Cost with Medicare?
Jan 27, 2023
Cover image
Does Your Plan Include A Free Gym Membership?
Jul 12, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Indianapolis

14 Best Ways for Seniors to Stay Active in Nashville

14 Best Ways to Stay Active in Charlotte

2024 Fair Square Client Retention and Satisfaction Report

2024 Fair Square NPS Report

Building the Future of Senior Healthcare

Can I Laminate My Medicare Card?

Can I Use Medicare Part D at Any Pharmacy?

Can Medicare Advantage Plans be Used Out of State?

Can Medicare Help with the Cost of Tyrvaya?

Do I Need to Renew My Medicare?

Do You Need Books on Medicare?

Does Medicare Cover an FMT?

Does Medicare Cover Breast Implant Removal?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Flu Shots?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Hypnotherapy?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Iovera Treatment?

Does Medicare Cover Jakafi?

Does Medicare Cover Krystexxa?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Nexavar?

Does Medicare Cover Ozempic?

Does Medicare Cover Qutenza?

Does Medicare Cover Service Animals?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover Stair Lifts?

Does Medicare Cover TENS Units?

Does Medicare Cover Urodynamic Testing?

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 Require a Referral for Audiology Exams?

Explaining IRMAA on Medicare

Finding the Best Dental Plans for Seniors

How Do Medicare Agents Get Paid?

How Medicare Costs Can Pile Up

How Much Does a Pacemaker Cost with Medicare?

How Much Does Medicare Cost?

How Much Does Medicare Part B Cost in 2025?

How Often Can I Change Medicare Plans?

How to Deduct Medicare Expenses from Your Taxes

Is Balloon Sinuplasty Covered by Medicare?

Is Emsella Covered by Medicare?

Is Vitrectomy Surgery Covered by Medicare?

Medicare & Ozempic

Medicare 101

Medicare Advantage MSA Plans

Medicare Supplement Plans for Low-Income Seniors

The Easiest Call You'll Ever Make

What Are Medicare Part B Excess Charges?

What Does Medicare Cover for Stroke Patients?

What Is a Medicare Supplement SELECT Plan?

What Is Medical Underwriting for Medigap?

What is the 8-Minute Rule on Medicare?

What Is the Medicare Birthday Rule in Nevada?

What You Need to Know About Creditable Coverage

What's the Deal with Flex Cards?

When to Choose Medicare Advantage over Medicare Supplement

Will Medicare Cover it?

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