Skip to main content




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 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)
  • 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.

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 Seaford and Aldinga Staff Are 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 South Coast Optometrists

We provide both routine eye care and a huge range of optical choices, we can process your Medicare claim and your health fund on site. 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.

  • AHM Health Insurance
  • Apia
  • Australian Unity
  • Bupa
  • CBHS Corporate Health
  • CBHS Health Fund
  • CUA Health Limited
  • Defence Health
  • Doctors' Health Fund
  • Frank Health Insurance
  • GMF Health Insurance
  • GU Health
  • HBF
  • HCF
  • HIF
  • Health Partners
  • Medibank Private
  • Mildura Health Fund
  • My Own
  • AAMI
  • ACA Health Benefits Fund
  • AIA
  • Budget Direct
  • CDH Benefits Fund
  • Health Care Insurance
  • Latrobe Health Services
  • NHA
  • NIB
  • Navy Health
  • Nurses & Midwives Health
  • Peoplecare
  • Phoenix Health Fund
  • Police Health
  • Qantas Insurance
  • Queensland Country Health Fund
  • RBHS
  • RT Health Fund
  • St. Lukes Health
  • TUH Health Fund
  • Teachers Health
  • Transport Health
  • Westfund
Book An Appointment
Buy Now Pay Later
Email Us



  • 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?
  • Looking for a new pair of glasses and want to spread out the payments? You can Buy Now, Pay Later.