Eye exams (for diabetes)

Medicare Part B (Medical Insurance)

covers eye exams for diabetic retinopathy once a year if you have diabetes.

Your costs in Original Medicare

You pay 20% of the

Medicare-approved amount

for your doctor's services, and the Part B

Deductible [glossary]

applies. In a

Hospital outpatient setting

, you pay a

Copayment

.

To find out how much your test, item, or service will cost, talk to your doctor or 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
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. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.

Things to know

The exam must be done by an eye doctor who’s legally allowed to do the test in your state.

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Eye exams (for diabetes)

Eye exams (for diabetes)

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