Medicare.gov

Macular degeneration tests & treatment

Medicare Part B (Medical Insurance) may cover certain diagnostic tests and treatments if you have age-related macular degeneration

  • Covered by Part B
  • After the Part B deductible , you pay 20% of the Medicare-approved amount (other costs may apply)

Description

Macular degeneration is an eye disease that can blur or reduce your central vision.

Coverage details

Part B may cover certain diagnostic tests and treatments (including treatment with certain injectable drugs) if you have age-related macular degeneration.

Costs

  • In most cases, after you meet the Part B deductible , you pay 20% of the Medicare-approved amount for the drug and your doctor’s services.
  • In a hospital outpatient setting, you also pay a separate facility copayment .
     

Ask your doctor or healthcare provider how much your test, item, or service will cost.

Your doctor may recommend services that Medicare does not cover or offers too frequently. This could end up in additional costs for you. Make sure to ask your doctor about the reasons for these recommendations and what Medicare will actually cover.

Specific amounts you could owe depend on:

  • Other insurance you may have

  • How much your doctor charges

  • If your doctor accepts assignment

  • The type of facility

  • Where you get your test, item, or service