Your Medicare Coverage

Is my test, item, or service covered?

Yearly eye exam

How often is it covered?

Medicare Part B (Medical Insurance) covers a yearly eye exam for diabetic retinopathy by an eye doctor who's legally allowed to do the test in your state.

Who's eligible?

All people with Medicare who have diabetes are covered.

Your costs in Original Medicare

You pay 20% of the Medicare-approved amount for the doctor's services, and the Part B deductible applies. In a hospital outpatient setting, you pay a copayment.

Note

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.

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