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News for Priority Health Provider Network
April/May 2011

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Eye exams are key to diagnosing glaucoma

Please ask your patients if they’ve had a glaucoma eye exam in the past one to two years. Medicare covers an annual glaucoma screening as a Medicare Part B benefit for high-risk patients. Patients who aren’t high risk will be covered by Medicare but will have a copay for the office visit. The out-of-network deductible applies to all patients who get a glaucoma screening from an out-of-network provider.

Here are some fast facts from the Centers for Medicare and Medicaid Services (CMS) that you can use when talking with your patients about glaucoma:

  1. There are little or no warning signs or symptoms.
  2. Vision loss from glaucoma is irreversible.
  3. You’re at high risk if you:
    • Have diabetes
    • Have a family history of glaucoma
    • Are African-American and over the age of 50
    • Are Hispanic-American and over the age of 65

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