Does Medicare Cover Glaucoma Tests?

Learn how Medicare can help prevent vision loss with a glaucoma test

by Amy De Vore+ on Feb 19, 2016 | 3 Comments

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 ($183)
  • 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 ($183). To learn more look at our Medigap comparison chart.

Learn More about Medigap Get a Medigap Quote

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.

Learn More about Medicare AdvantageGet a MA Quote

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.

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Reader Comments and Questions

(Click here to leave a comment)

By Ray on September 20, 2016

I have been a glaucoma patient for many years. I am about to go on Medicare A + B. Will I be covered by Medicare?

Ray,
For high risk patients, you will be offered a glaucoma screening every 12 months. For other specific glaucoma eye care, you will want to contact CMS to learn what is or is not covered. If you need help finding a Medicare Health Plan (Medigap, Medicare Advantage, Part D) to help cover health care expenses, please call one of our Senior65 licensed independent insurance agents at 800-930-7956.
-Amy from https://www.senior65.com/


By Ron Newgard on March 08, 2016

Hi . My husband had cataract surgery on one eye. He is 73 and had to pay an extra 600.00 to the eye Dr. (surgeon) and an extra 400.00 to the Hospital . He has Plan F supplemental insurance . Can that or is that supposed to happen? Thanks , Alli from Iowa .

Ron,
If either the doctor or hospital performing cataract surgery does not accept Medicare assignment, then, yes, excess charges can be applied. Many times, even though Medicare Supplement Plan F covers excess charges, you may have to pay them up front, and then you will be reimbursed by your provider. If these are not "excess charges" you'll want to contact the hospital to find out what these charges are, and why they weren't covered. Either way you'll want to discuss this with your insurance provider, hospital, and surgeon.
-Michelle from https://www.senior65.com/


By Joyce on March 04, 2016

I don't think I have an issue with glaucoma, but I'm worried about cataracts. Does Medicare cover anything for cataracts?

Joyce,
Medicare does cover cataract surgery, just remember it leave gaps in coverage. You may want to consider a Medigap or Medicare Advantage plan to lessen your financial burden.
-Amy from https://www.senior65.com/



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