Will Insurance Cover My Prosthetic Eye?

When you lose an eye, it’s natural to feel like your world has been turned upside down. Not only do you have to adjust to living with one less sense, but you also have to worry about the financial implications of your injury.

Will insurance cover my prosthetic eye? This is a question that many people ask after they have lost an eye. In this blog post, we’ll answer that question and give you more information about prosthetic eyes.

Insurance Coverage for Prosthetic Eyes

If you’re considering getting a prosthetic eye, you may wonder if your insurance will cover the cost. The answer to this question depends on several factors, including your specific insurance plan and why you need a prosthetic eye.

In most cases, health insurance plans will cover at least a portion of the cost of a prosthetic eye. However, there may be some out-of-pocket costs that you’ll need to pay, such as a deductible or coinsurance.

If you need a prosthetic eye due to an injury or disease, your insurance is more likely to cover the cost. Insurance companies typically consider prosthetic eyes to be medically necessary when they are needed to improve vision or correct a deformity. If you’re considering getting a prosthetic eye, check with your insurance company to see what coverage is available under your plan.

Medicare Coverage for Artificial Eyes

There’s good news and bad news when it comes to Medicare coverage for artificial eyes. Medicare does cover prosthetic eyes, and the benefits are pretty comprehensive. The bad news is that there are a few caveats that you need to be aware of before you get too excited about your new eye. Here’s what you need to know about Medicare coverage for artificial eyes.

Medicare will cover the cost of your prosthetic eye, but there are a few conditions that must be met for them to do so. First, you must have had your natural eye removed due to a medical condition. Second, you must have received a recommendation from your doctor that a prosthetic eye is medically necessary. And third, you must be able to show that you’re unable to obtain a natural eye from any other source.

If you meet all of those criteria, then Medicare will cover the cost of your prosthetic eye up to a certain amount. They’ll also cover the cost of any routine maintenance or repairs that are necessary. However, there are a few things that Medicare won’t cover. For example, they won’t pay for cosmetic changes or upgrades to your prosthetic eye.


We hope this blog post has answered your questions about insurance coverage for prosthetic eyes. As you can see, there are a few things to consider when it comes to getting your artificial eye covered by insurance.

However, in most cases, insurance will cover at least a portion of the cost. If you have Medicare, they should cover the entire cost of your prosthetic eye. If you have any other questions about prosthetic eyes, be sure to contact Hetzler Ocular Prosthetics Inc.