Amends title XVIII (Medicare) of the Social Security Act to include among the benefits provided by the insurance program established by part B (Supplementary Medical Insurance) of such title dental care, eye care, dentures, eyeglasses, hearing aids, and other prosthetic devices relating to the oral cavity, jaws, eyes, or ears, including replacement of such devices. Revises the method of determining premiums for individuals eligible under part B. Increases the Government contribution to the Federal Supplementary Medical Insurance Trust Fund. Excludes from coverage under part B expenses incurred with respect to the referral of an individual to a physician by a doctor of optometry arising out of a procedure in connection with the diagnosis or detection of eye diseases.