Eye tests and Medicare

Are eye tests bulk billed?

Eye tests can be *bulk billed, meaning if you are covered by Medicare there is no out of pocket expense to you.

If you have a current Medicare card you are eligible for:

• One comprehensive eye test every three years if you are under 65-years-old
• One comprehensive eye test every year if you are 65 or older.
• An eye test as required if you have an eye condition like glaucoma.

What if I need an additional eye test?

All optometrist and optical stores are different, but at Bupa Optical you don’t have to worry about paying more if you have additional eye tests.

Even though those under 65 are eligible for a comprehensive eye test only every 3 years, at Bupa Optical we actually recommend everyone have an eye test every 2 years, or as advised by your optometrist.

We believe prevention is better than a cure and will continue to bulk bill and cover the gap payment to ensure there is no out of pocket cost to you whenever you need an eye test.

Are eye tests covered by private health insurance?

No. Because eye tests are already covered by Medicare, they are not usually covered by Private health insurance.

Is every test covered by Medicare?

No. Some more specialised eye tests or consultations are not covered by Medicare.

Some contact lens consultations, visual fields consultations and dry eye services may cost you money.

Digital Retinal Photography isn’t covered by Medicare, however at Bupa Optical we don’t charge customers for it. Because it’s such an important tool to help detect, manage and monitor potential sight threatening diseases we want all customers to have access to it.

Prescription lenses, spectacle frames and contact lenses

Medicare doesn’t cover the cost of prescription lenses, frames or contact lenses, but your private health insurance might.

Depending on your policy, Private health insurance can cover up to 100 percent of the cost of frames, lenses and contacts.

Bupa Optical offers exclusive benefits and discounts to Bupa members

*Bulk billing is available for eligible Medicare card holders and eligible services.