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Because prescription glasses, contact lenses and prescription sunglasses aren’t covered by Medicare, many turn to private health funds that includes optical benefits in order reduce vision costs.

Our Wembley staff will help you maximise your claim and reduce any out-of-pocket expense so you get the best possible value out of your optical benefits.

Home » Medicare and Private Health Funds

What Does Medicare Cover?

Anyone holding a current Medicare card has access to:

  • One comprehensive eye test every three years (for those under 65 years years)
  • One comprehensive eye test every year (if you’re 65 +)
  • Contact lens consultations (within a specific range of optical prescriptions)
  • Eye tests as needed if you have an eye condition, such as glaucoma or macular degeneration

Are All Eye Tests Covered by Medicare?

Not all. More specific eye tests, such as those for contact lenses, vision therapy or dry eye may incur additional costs.

Medicare Rebates On Consultations

Medicare provides varying rebates on your initial consultation which is dependent on when you were last seen by an optometrist and the type of tests that your vision may require on the day.

Contact lens consultations may also be claimable from Medicare dependent on the power of lenses that are required.

Vision Processing Testing and Vision Therapy programming fees are not claimable through Medicare. Please contact the practice for bookings and current fees and charges.

What About Private Health Funds?

Private health funds don’t typically cover eye tests, but depending on your policy, they may cover up to 100% of the cost of frames, prescription lenses, or contact lenses.

Our Wembley Staff Is Here To Help You With Your Private Health Fund

Whether you’re looking for contact lenses, glasses, or the latest in designer brand frames, we’re here to assist you by helping you claim optical benefits on the spot, thus reducing out-of-pocket expenses.

We Accept All Health Funds at The Focal Point Optometrist

We provide both routine eye care and a huge range of optical choices. If you need help figuring out your coverage, we invite you to call our practice for guidance before you come in for your visit. Our staff has extensive experience working with Medicare and all private health funds and we will be glad to help you understand what benefits are available for you. View All Our accepted health funds here.

  • AAMI
  • ACA Health Benefits Fund
  • AHM Health Insurance
  • AIA Health Insurance Pty Ltd
  • Apia
  • Australian Unity Health Limited
  • Budget Direct
  • Bupa HI Pty Ltd
  • CBHS Corporate Health
  • CBHS Health Fund Limited
  • CDH Benefits Fund
  • CUA Health Limited
  • Defence Health Limited
  • Doctors Health Fund
  • Frank Health Insurance
  • GMF Health Insurance
  • GMHBA Limited
  • GU Health
  • HBF Health Limited
  • HCF
  • Health Care Insurance Limited
  • Health Insurance Fund of Australia Limited (HIF)
  • Health Partners
  • Latrobe Health Services
  • Medibank Private Limited
  • Mildura Health Fund
  • My Own
  • National Health Benefits Australia Pty Ltd (onemedifund)
  • Navy Health Ltd
  • NIB Health Funds Ltd.
  • Nurses Midwives Health
  • Peoplecare Health Insurance
  • Phoenix Health Fund Limited
  • Police Health
  • Qantas
  • Queensland Country Health Fund Ltd
  • Reserve Bank Health Society Ltd
  • Railway and Transport Health Fund Limited
  • St. Lukes Health
  • Teachers Health
  • Transport Health Pty Ltd
  • TUH Health Fund
  • Westfund Limited

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  • Visiting an optometrist for an eye test is crucial to ensure good eye health. It's an equally effective way to detect and diagnose certain eye conditions and diseases early on. But how much does it cost and does Medicare cover eye exams?