Medicare coverage
Does Medicare Cover Macular Degeneration Treatment?
Only in certain cases. Medicare Part B (Medical Insurance) may cover certain diagnostic tests and treatments if you have age-related macular degeneration.
Only in certain cases: Part B
Source: Medicare.gov, Macular degeneration tests & treatment, checked October 23, 2026.
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Rivvi writes it from the Medicare.gov page and the NCD, with the source linked. It does not recommend plans.
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Coverage at a glance
- Covered?
- Only in certain cases
- Which part
- Part B
- What you pay
- After the Part B deductible, you pay 20% of the Medicare-approved amount (other costs may apply).
- Part B deductible 2026
- $283 a year (CMS). Part B premium $202.90 a month.
- Medicare.gov page
- Macular degeneration tests & treatment
Description
Macular degeneration is an eye disease that can blur or reduce your central vision.
From Medicare.gov, checked October 23, 2026.
Coverage details
Part B may cover certain diagnostic tests and treatments (including treatment with certain injectable drugs) if you have age-related macular degeneration.
From Medicare.gov, checked October 23, 2026.
Costs
- In most cases, after you meet the Part B deductible, you pay 20% of the Medicare-approved amount for the drug and your doctor’s services.
- In a hospital outpatient setting, you also pay a separate facility copayment.
From Medicare.gov, checked October 23, 2026.
National Coverage Determinations
- NCD 80.2.1: Ocular Photodynamic Therapy (OPT)
Version 2, effective April 3, 2013
- NCD 80.3.1: Verteporfin
Version 2, effective April 3, 2013
An NCD is the national rule CMS writes for when Medicare pays for an item or service. Local coverage determinations (LCDs) from each Medicare contractor can add detail. Read the NCD text on the CMS site.
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- Does Medicare Cover Eye Exams?
No
- Does Medicare Cover Glasses?
No
- Does Medicare Cover Glaucoma Screening?
Yes
- Medicare Part B deductible 2027
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- Everything Medicare covers, A to Z
Questions
Does Medicare Cover Macular Degeneration Treatment?
Only in certain cases. Medicare Part B (Medical Insurance) may cover certain diagnostic tests and treatments if you have age-related macular degeneration.
Which part of Medicare covers Macular Degeneration Treatment?
Medicare.gov lists Macular degeneration tests & treatment under Part B.
How much do you pay for Macular Degeneration Treatment with Medicare?
Per Medicare.gov: After the Part B deductible, you pay 20% of the Medicare-approved amount (other costs may apply).
Is there a national coverage determination for Macular Degeneration Treatment?
Yes. CMS NCD 80.2.1, Ocular Photodynamic Therapy (OPT), version 2, effective 2013-04-03.
Does a Medicare Advantage plan cover Macular Degeneration Treatment?
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 Macular Degeneration Treatment?
Only in certain cases. Medicare Part B (Medical Insurance) may cover certain diagnostic tests and treatments if you have age-related macular degeneration.
Checked against Medicare.gov 2026-10-23. Source: Rivvi