Your Medicare Coverage
Is my test, item, or service covered?
How often is it covered?
Medicare Part B (Medical Insurance) covers a glaucoma test once every 12 months for people at high risk for glaucoma. The screening must be done or supervised by an eye doctor who's legally allowed to do this test in your state.
All people with Medicare who are at high risk for glaucoma are covered. You're at high risk if you have diabetes, a family history of glaucoma, are African American and 50 or older, or are Hispanic American and 65 or older.
Your costs in Original Medicare
- You pay 20% of the Medicare-approved amount, and the Part B deductible applies.
- In a hospital outpatient setting, you also pay a copayment.
To find out how much your specific test, item, or service will cost, talk to your doctor or other health care provider. The specific amount you’ll owe may depend on several things, like other insurance you may have, how much your doctor charges, whether your doctor accepts assignment, the type of facility, and the location where you get your test, item, or service.
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.