Your Medicare Coverage

Is my test, item, or service covered?

Macular degeneration

How often is it covered?

Medicare Part B (Medical Insurance) covers certain diagnostic tests and treatment of diseases and conditions of the eye, including treatment with certain injected drugs.

Who's eligible?

Some people with Part B who have age-related macular degeneration (AMD) are covered.

Your costs in Original Medicare

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


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
  • 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.

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