Medicare offers Glaucoma tests annually to high risk patients in order to prevent vision loss, specifically side vision. The good news is early detection can help you keep your sight. While Medicare does offer the test, you will still have to pay out of pocket costs.
Does Medicare Cover Glaucoma Tests?
As stated above, Medicare partially covers glaucoma tests once every 12 months for high risk patients who fall under one of the following categories:
- You have Diabetes
- Family history of glaucoma
- You are African-American and 50 or over
- You are Hispanic-American and 65 and over
How Does Medicare Cover Glaucoma Tests?
If you have Medicare and you qualify for a glaucoma test by a doctor that accepts Medicare assignment, and a glaucoma specialist, you will owe:
- Your Part B deductible ($198)
- 20% Part B coinsurance
- Copay (can vary by where you receive the test)
If you want help to cover these costs, you may want to consider enrolling in a Medicare Supplement plan.
Does Medigap Cover Glaucoma Tests?
Yes, Medicare Supplement (aka Medigap) can cover some or all of the costs of your glaucoma test, by filling in the gaps left over by Original Medicare. For instance, all Medigap plans cover all or part of your Part B coinsurance and copays, but only Medigap Plan C and F will cover your Part B deductible ($198). To learn more look at our Medigap comparison chart.
Does Medicare Advantage Cover Glaucoma Tests?
Yes, Medicare Advantage will cover some of the costs of your glaucoma test. Medicare Advantage plans (MA) most cover the same services as Original Medicare, however, an MA plan may choose to cover each service differently. For this reason, each company may offer different coverage. If you are at risk for glaucoma, learn about Medicare Advantage plan coverage, and contact us the number.
Next Steps for Medicare Health Plan Coverage for Glaucoma Tests
If you think you might be at risk for glaucoma and need a Medicare Health plan to help cover the costs call Senior65’s licensed independent insurance agents at 800-930-7956.