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Does Medicare Cover Any Eye Care?

Does Medicare cover any eye care?

How often are eye exams covered?

Routine eye exams are not covered by Medicare (also known as eye refractions) which are for eyeglasses and contact lenses. There are some diagnostic and preventive eye exams covered by Medicare Part B Medical Insurance.

  • Your annual Eye Exam
  • Tests for Glaucoma
  • Macular degeneration Disease

Medicare Part B Medical Insurance Coverage

  • Annual eye exams for diabetic retinopathy, this will have to be done by a doctor who can legally perform the test in your state.
  • Those with diabetes are covered under Part B

Glaucoma tests under Medicare Part B

For people that have high risk factors for glaucoma are covered for a test every 12 months.

Screens will have to be performed and or supervised by an eye doctor that is legally permitted to perform the test in your state.

Your eligible if diabetes or glaucoma in your family history, if you are African American that is 50 years old or older, Hispanic American and you are 65 years or older.

Costs in Original Medicare:

  • Part B deductible will apply and you pay the 20% of what is the Medicare approved amount.
  • Outpatient hospital settings you pay a copayment.

How often is Macular degeneration covered?

Certain diagnostic tests as well as treatments for different diseases and eye conditions are covered by Medicare Part B Medical Insurance. This includes treatment for specific injected drugs.

Eligibility for some people with age related (AMD) macular degeneration are covered under Part B.

Costs in Original Medicare:

  • Part B deductible will apply and you pay the 20% of what is the Medicare approved amount.
  • Outpatient hospital settings you pay a copayment.
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