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Offered by ABC; Underwritten by ABC
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Eye conditions covered under Medicare
Medicare Part B will pay for eye exams, tests and other treatments related to specific diseases and conditions listed below. In most cases, you will still have to pay some of the cost for these.
After you meet your Original Medicare Part B deductible, you’ll have to pay 20% of the Medicare-approved amount for these tests, exams, devices and treatments.
Cataract surgery
Cataracts can make vision cloudy or hazy. Original Medicare may cover cataract surgery, which removes the cloudy lens from the eye and replaces it with an artificial intraocular lens.4
Diabetic eye exams
If you have diabetes, Medicare Part B covers one eye exam for diabetic retinopathy each year. This condition can cause vision loss and blindness in people with diabetes.5
Glaucoma testing
Glaucoma is a group of diseases that can cause vision loss and blindness by damaging the optic nerve. Medicare Part B will cover an annual glaucoma test if you are at high risk.6
Macular degeneration testing
Age-related macular degeneration (AMD) happens when aging causes damage to the macula. If your doctor suspects that you have AMD, Medicare Part B may cover specific tests to diagnose it. If you have AMD, Medicare Part B may pay for treatment, including certain injectable drugs.7
Other eye treatments
Original Medicare may cover other treatments for eye conditions as needed. These could include surgery to repair the eye or area around the eye from an accident, injury or illness. Some examples might include surgery to repair a detached retina or a cornea transplant.