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.
All people with Medicare who have diabetes are covered.
Your costs in Original Medicare
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.