Medicare Part B (Medical Insurance)
covers eye exams for diabetic retinopathy once each year if you have diabetes. You must get the exam from an eye doctor who’s legally allowed to do the test in your state.
Your costs in Original Medicare
After you meet the Part B deductible, you pay 20% of the
Medicare-approved amount
for your doctor's services. In a
hospital outpatient setting
, you also pay a
copayment
.
Find out cost
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
- If your doctor accepts assignment
- The type of facility
- Where you get your test, item, or service
Frequency of services
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 if, or how much, Medicare will pay for them.
