How to Find an Optometrist Who Takes Medicare


Years ago, if you were looking for an optometrist who takes Medicare, you might have to ask your friends for recommendations. Now, it's a snap for Medicare patients to find optometrists, opthalmologists, or any other medical specialist thanks to the "Find Doctors & Other Healthcare Professionals" feature on


  • is Medicare's information site. On the left side of the main page is a menu you can use to find Medicare providers, suppliers, and facilities. Click the link for doctors and other providers. Enter your location and the specialty name, hit Enter, and you'll go to a list of optometrists who accept Medicare, all neatly organized by distance. As of this writing, for example, there are 111 optometrists within 5 miles of Houston's center. Rainelle, WV (population 1,505), has two in town and 17 more within 37 miles.

Doctor Information

  • To learn more about an optometrist, click on her name. The information page lists gender, practice address, where the doctor attended medical school, and year of graduation. You'll also see a link about a Physician Quality Reporting System. As of this writing, however, the PQRS includes only group practices, and it hasn't yet posted quality ratings. The "Physician Compare" feature itself is a work in progress. To date, you can't compare individual doctors side by side. You can compare up to three group practices, though, by using a tab on the first "physician compare" page.

Medicare Assignment

  • If you have traditional Medicare, you probably will want a doctor who accepts "Medicare assignment" -- that is, who charges only what Medicare pays, so you don't have to pay extra out of pocket. On the "Physician Compare" page, click "Additional Search Options" and check the Medicare assignment box. The same search option appears in the "Modify Your Results" column after you've started your search. Medicare recommends phoning the doctor's office to double-check. If you're in a Medicare Advantage plan. Make sure the doctor is on the provider list and that you don't need a referral from your primary care physician.

Requesting Reimbursement

  • If you have traditional Medicare and you go to an optometrist who doesn't accept Medicare assignment, you'll probably have to pay the doctor directly -- possibly before you receive services -- and then file a claim for reimbursement with Medicare. How much you'll receive depends largely on what Medicare usually pays for the service and whether you've reached your deductible. You will not be reimbursed for your copay. If you're in a Medicare Advantage plan and you go to an out-of-network doctor, you'll have to take up the reimbursement issue with your insurer instead.


  • Photo Credit XiXinXing/XiXinXing/Getty Images
Promoted By Zergnet



You May Also Like

  • What Is Medicare Credentialing?

    Medicare credentialing is mandatory in order for a practitioner to be reimbursed from Medicare. The credentialing process entails the completion of the...

  • How to Find Doctors Who Accept Medicaid

    There are several resources for finding doctors and hospitals that accept Medicaid payments. This information can be found online or by phone.

  • How to Become a Medicare Provider

    Medicare is a partial-payment federal health insurance program for people ages 65 or older, as well as people with disabilities or end-stage...

  • How to Find a Medicare Number

    The Social Security Act of 1964 established the Social Security Administration (SSA) which oversees Medicare, a health provider for individuals age 65...

  • How to Find Eyeglasses Covered by Medi-Cal

    If you are one of the beneficiaries of vision care services offered by the California Medical Assistance Program, the process of finding...

  • How to Find Doctors Who Accept Medicare

    Now that you've retired, your years of hard work have entitled you to coverage under the nation's Medicare program. When your physician...

Related Searches

Is DIY in your DNA? Become part of our maker community.
Submit Your Work!