Short answer
Yes. Part B covers a yearly diabetic retinopathy exam; the deductible and coinsurance apply.
Diabetic Eye Exam Coverage
Medicare Part B covers an exam for diabetic retinopathy once a year by an eye doctor legally allowed to do it in your state. The deductible and coinsurance apply. Private plans usually bill it to medical insurance, not vision insurance. Also see our eye exam guide and annual wellness exam.
USA Diabetic Eye Exam: Quick Facts
- Type 2 diabetes
- First exam at diagnosis
- Type 1 diabetes
- Within 5 years of diagnosis
- Frequency
- Yearly (1–2 years if low risk)
- Key tests
- Dilated retinal exam, imaging, OCT
- Medicare
- Part B covers once a year
- Billing
- Usually medical insurance
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.