Glaucoma Test Coverage

Medicare Part B (Medical Insurance)

covers glaucoma tests once every 12 months if you’re at high risk for the eye disease glaucoma. You’re at high risk if one or more of these applies to you:

You have diabetes.
You have a family history of glaucoma.
You’re African American and age 50 or older.
You’re Hispanic and age 65 or older.

Your costs in Original Medicare

You pay 20% of the Medicare-approved amount and the Part B Deductible [glossary] applies.
In a Hospital outpatient setting , you also 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

An eye doctor who’s legally allowed to do this test in your state must do or supervise the screening.

Related resources

Glaucoma tests

Glaucoma tests

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