13 February 2026
Fact Checked

Optical
Health Insurance

Compare extras plans with optical health insurance to help cover the cost of glasses, contact lenses and other prescription eyewear.

We've partnered with Compare Club to to help you compare health insurance quotes online.

Created by our team of experts.
Optical Health Insurance

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If you wear glasses or contact lenses, the cost can add up to thousands of dollars over a lifetime. An extras policy with optical cover can help reduce your bill by providing rebates for prescription eyewear, allowing you to save when you next visit the optometrist.

What does optical health insurance cover?

Optical cover is included in most health insurance extras plans, allowing you to claim up to a set amount each year for corrective eyewear. You’ll be covered for a range of products to help you look after your vision.

What’s covered:

  • Prescription glasses
  • Contact lenses
  • Prescription sunglasses
  • Replacement lenses
  • Repairs

Over-the-counter reading glasses, which use non-prescription magnifiers, will not be included in your optical cover.

What’s not covered:

  • Non-prescription eyewear
  • Glasses and contact lenses bought overseas

What may be covered:

  • Lens upgrades, such as anti-reflective coating, tinting and UV protection

The specific inclusions and annual limits will vary from plan to plan, so it’s important to check your policy carefully. In most cases, you’ll also have to serve a waiting period before you can make a claim, typically between two and six months.

Other eye health cover

Some extras policies also include eye therapy to treat issues like crossed eyes or double vision, up to a set limit. This is separate from the general optical cover on your plan.

More serious conditions that require hospital treatment may be covered under hospital health insurance policies. However, this cover may not be available on basic hospital plans, and you may need a higher-level plan (such as silver or gold) to be covered for treatments like cataract surgery.

Does health insurance cover laser eye surgery?

Health insurance cover for laser eye surgery may be available on some higher-level extras policies, but it’s not a standard inclusion and is categorised separately from other types of optical cover. It usually comes with longer waiting periods of two to three years and, while it contributes to the cost of surgery, typically does not cover the full procedure.

As an example, here’s what you could be covered for with ahm:

Plan Monthly price Annual / lifetime limit Waiting period
High extras plan $97 Annual limit $1,800 per person ($900 per eye), lifetime limit $1,800 2 years
Medium extras plan $58 Annual limit $1,200 per person ($600 per eye), lifetime limit $1,200 per person / $2,400 per family 2 years
Source: Compare Club, February 2026
Example quote is for a single 35-year-old in Sydney on a base-tier salary.

How much is optical health insurance?

While you can’t buy optical cover as standalone policy, extras plans with optical cover can start from less than $20 dollars a month. However, the more you pay for your plan, the more you can typically claim for optical products.

Here are some of the cheapest and most comprehensive extras plans currently available through our partner:

Cheapest extras plans with optical cover

Provider Monthly price Optical cover details
HCF $18 Annual limit: $100 per person / $200 per policy
100% of single-vision, multifocal and contact lenses up to annual limit
See-U by HBF $20 Annual limit: $150 per person / $300 per policy
100% of single-vision, multifocal and contact lenses up to annual limit
Nib $26 Annual limit: $150 per person / $300 per policy
100% of single-vision lenses and multifocal lenses up to annual limit
Bupa $26 Annual limit: $150 per person / $300 per policy
Single-vision lenses: $73.20 with optical partners, $53 with other providers
Multifocal lenses: $144.60 with optical partners, $116 with other providers
Frames: $139 with optical partners, $124.50 with other providers
ahm $33 Annual limit: $180 per person / $360 per policy
100% of single-vision lenses and multifocal lenses up to annual limit
Australian Unity $43 Annual limit: $200 per person / $400 per policy
100% of single-vision lenses and multifocal lenses up to annual limit
Source: Compare Club, February 2026
Example quote is for a single 35-year-old in Sydney on a base-tier salary.

Highest-level extras plans with optical cover

Provider Monthly price Optical cover details
Bupa $71 Annual limit: $250 per person
60% fee up to annual limit for frames and single-vision and multifocal lenses
HCF $84 Annual limit: $275 per person
100% of single-vision, multifocal and contact lenses up to annual limit
Australian Unity $96 Annual limit: $300 per person / $600 per policy
100% of single-vision, multifocal and contact lenses up to annual limit
ahm $97 Annual limit: $250 per person – limit increases at 5, 10, 15, 20 years of membership
100% of single-vision, multifocal and contact lenses up to annual limit
Nib $135 Annual limit: $350 per person
75% of single-vision, multifocal and contact lenses up to annual limit
Source: Compare Club, February 2026
Example quote is for a single 35-year-old in Sydney on a base-tier salary.

How do I compare optical cover?

  • What’s covered 

    Look at things like the types of lenses included, whether you need to buy frames and lenses together and if contact lenses are covered.

  • Annual and policy limits  

    Check the maximum you can claim per year and any overall policy limit to ensure it covers what you need. On family plans, individual limits can be lower if there’s an overall policy limit.

  • Percentage of coverage 

    Some plans cover the full cost up to the limit (no gap), while others cover only a percentage or up to a set amount.

  • Waiting periods  

    Waiting periods for optical cover can range from 2 to 6 months, while some providers may even waive the waiting period.

  • Extra services and discounts 

    Some insurers partner with preferred optical providers, offering discounts or additional services for free to help you save even more.

  • Other inclusions on the extras plan 

    Optical cover can’t be taken out on its own. Even if it’s your main focus, check the other inclusions on the plan to see what additional services you make use of.

 

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How to get optical health insurance

  1. Fill out our online form

    Apply for a quote for extras cover with optical benefits.

  2. Speak with a health insurance advisor

    We’ll connect you with an expert to find a plan that suits your optical and extras needs.

  3. Take out your extras policy

    Choose your health insurance plan and make the most of your benefits.

What if I already have an extras plan?

If you already have extras cover and find that you need glasses, check your policy to see what’s included. You’ve likely already served the waiting periods, so you may be able to claim straight away for the cost of frames and lenses.

 

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Frequently asked questions about optical health insurance

Does my optical extras cover include buying glasses online?

Yes, you can purchase prescription glasses or contact lenses online and then claim on your insurance, but the retailer must be based in Australia.

If you’ve purchased eyewear from overseas, you will be unable to claim any money back for them. This is because Australian health funds are regulated by federal law and can only pay claims for products supplied by recognised Australian providers.

How many free eye tests does Medicare cover?

Medicare covers one eye test with an optometrist every three years for people under 65 (unless you have a diagnosed eye condition), and one per year for those 65 or older.

It does not cover the cost of any prescription eyewear that may be required.

Do family extras policies allow all members to get glasses in one year?

Family extras policies usually come with both an overall policy limit and a per-person limit – which can reduce the overall amount each person can claim for.

For example, an extras policy with an optical limit of $550 per year and a $225 per-person limit means that two family members could each spend $225 a year on a pair of glasses, while the rest could spend up to a combined $100.

Can you claim Meta glasses on health insurance?

Yes, if the Meta AI glasses are fitted with prescription lenses, you may be able to claim part of the cost through your extras cover. However, because they’re premium frames, your annual limit may not cover the full amount, so you’ll likely have an out-of-pocket cost.

If I suffer an eye injury from an accident and require surgery, will private health cover me?

Yes, treatment for serious eye injuries is generally covered under hospital cover, not extras cover. This can include treatment for eye trauma, infections and surgery required as a result of an accident.

What’s included will vary between policies and levels of hospital cover, so it’s important to check your policy details to see exactly what you’re covered for.

Where can I see my glasses coverage limit?

Your annual optical limit will be outlined in your policy documents.

If you want to check how much of that limit you have left, you can log in to your health fund’s member portal or app, or contact your provider directly.

Does optical insurance cover seeing an ophthalmologist?

No, optical extras cover is designed for everyday vision needs like glasses and contact lenses as prescribed by an optometrist.

If you need more specialised eye care from an ophthalmologist – a medical doctor who diagnoses and treats eye diseases and conditions – the cost may be covered in full or in part by Medicare or by your private hospital cover, but not by your optical insurance.

Disclaimer:

Savvy is partnered with Compare Club Australia Pty Ltd (AFS representative number 001279036) of Alternative Media Pty Ltd (AFS License number 486326) to provide readers with a variety of health insurance policies to compare.

Savvy earns a commission from Compare Club each time a customer buys a health insurance policy via our website. We don’t arrange for products to be purchased from these brands directly, as all purchases are conducted via Compare Club.

Savvy’s comparison service is provided by Compare Club. Compare Club compares selected products from a panel of trusted insurers and does not compare all products in the market.

Any advice presented above or on other pages is general in nature and doesn’t consider your personal or business objectives, needs or finances. It’s always important to consider whether advice is suitable for you before purchasing an insurance policy.

For any further information on the variety of insurers compared by Compare Club or how their business works, you can read their Financial Services Guide.