Medicare coverage
Does Medicare Cover Diabetic Eye Exams?
Yes. Medicare Part B (Medical Insurance) covers eye exams for diabetic retinopathy if you’re eligible.
Yes: Part B
Source: Medicare.gov, Eye exams (for diabetes), checked October 23, 2026.
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Coverage at a glance
- Covered?
- Yes
- Which part
- Part B
- What you pay
- After the Part B deductible, you pay 20% of the Medicare-approved amount (other costs may apply).
- How often
- Once a year
- Part B deductible 2026
- $283 a year (CMS). Part B premium $202.90 a month.
- Medicare.gov page
- Eye exams (for diabetes)
Who's eligible
You must have diabetes.
From Medicare.gov, checked October 23, 2026.
Provider requirements
You must get the exam from an eye doctor who’s legally allowed to do the test in your state.
From Medicare.gov, checked October 23, 2026.
Costs
- 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.
From Medicare.gov, checked October 23, 2026.
How often
Once a year.
From Medicare.gov, checked October 23, 2026.
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Only in certain cases
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Yes
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Yes
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Only in certain cases
- Does Medicare Cover Lancets?
Yes
- Does Medicare Cover Glucose Control Solutions?
Yes
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- Everything Medicare covers, A to Z
Questions
Does Medicare Cover Diabetic Eye Exams?
Yes. Medicare Part B (Medical Insurance) covers eye exams for diabetic retinopathy if you’re eligible.
Which part of Medicare covers Diabetic Eye Exams?
Medicare.gov lists Eye exams (for diabetes) under Part B.
How much do you pay for Diabetic Eye Exams with Medicare?
Per Medicare.gov: After the Part B deductible, you pay 20% of the Medicare-approved amount (other costs may apply).
Does a Medicare Advantage plan cover Diabetic Eye Exams?
Medicare Advantage plans must cover what Original Medicare covers and some offer extra benefits. Check the plan's Evidence of Coverage. Rivvi does not recommend plans.
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Does Medicare Cover Diabetic Eye Exams?
Yes. Medicare Part B (Medical Insurance) covers eye exams for diabetic retinopathy if you’re eligible.
Checked against Medicare.gov 2026-10-23. Source: Rivvi