If your physician is telling the patients to come back in two years for a check-up, that's great medical practice but it doesn't mean Medicare has to pay for it. It's a self-pay exam, as is refraction if you're doing one.
Patient needs to come to the ophthalmologist (or optometrist) when they have a medical reason/complaint in order for Medicare to cover. Not just for routine follow ups without medical problems (glaucoma, diabetic retinopathy, keratopathy, etc.)
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