Diabetic Retinal Eye Exams


Humana MarketPoint

Posted on

Feb 10, 2023


Colorado - Southern Colorado

If you have diabetes, it’s important to keep up to date with your preventive screenings to help catch issues as soon as possible. Find an eye care professional near you to schedule your diabetic retinal eye exam.

What is a diabetic retinal eye exam?

A diabetic eye exam is part of a comprehensive eye exam performed by an eye care professional to check for signs of diabetic retinopathy. This condition can affect people with type 1 or type 2 diabetes and can cause serious complications, including vision loss or blindness.1 Thankfully, a diabetic retinal eye exam is a generally simple, painless procedure that can help you prevent diabetic retinopathy or detect signs early.2

In-office diabetic retinal eye exam

Before the exam, an eye care professional will dilate your pupils with eye drops. Once your pupils widen about 20 minutes later, the eye care professional will check your visual acuity (sharpness), depth perception and eye movement. They will also examine the back of the eye for signs of diabetic retinopathy. Since diabetes can increase your risk for glaucoma, some exams may include glaucoma testing.3

The retinal exam itself generally takes about 10 minutes. If you schedule the exam in-office with an eye care professional, you may get results immediately.4

At-home diabetic retinal eye exam

Humana Medicare Advantage plan members may have the opportunity for an at-home diabetic eye exam. Before the exam, a Humana-approved vendor will contact you to schedule your appointment. Next, an eye care specialist will give you a retinal exam from the comfort of your home. Unlike a traditional exam done at an ophthalmologist or optometrist’s office, an in-home screening does not require dilating drops and does not impair your vision. Our vendors utilize compact, lightweight fundus cameras that allow their technicians to take high-quality images transmitted to an ophthalmologist for review seamlessly.

Once an ophthalmologist has reviewed the images, your results will be mailed to you and your primary care physician (PCP). Humana will also update your records with your exam results.

Medicare members who have not completed their diabetic retinal exam within the past year are generally eligible for at-home exams, with some exceptions. Contact your provider to see if you qualify.

Humana works with trusted vendors to provide at-home diabetic retinal exams. If you are eligible for an at-home diabetic retinal exam, you may be contacted by one of the following Humana-approved vendors:

  • HealPros
  • VuePoint
  • Signify
  • Matrix

If you have been contacted about an at-home diabetic retinal exam and have questions about your appointment, reach out to the vendor that contacted you. If you would like to schedule the exam on your own, simply decline the request. That information will be recorded in our system, and the vendor won’t contact you again.

Coverage and costs for a diabetic retinal eye exam

Humana Medicare Advantage medical plans cover eye exams for diabetic retinopathy once each year if you have diabetes. You don’t need a vision plan to receive coverage since the exam is considered preventive medical care. However, the exam must be done by an eye care professional who’s legally allowed to do the test in your state. Check the Evidence of Coverage for your plan for more details.

How do I receive Go365 rewards for completing the exam?

If Go365® is included with your plan, you can submit proof of your exam through Go365.com. Please make sure to submit your proof within 90 days of the exam to receive your Go365 reward for completing the activity. Please note, that you are only eligible for reward reimbursement once per calendar year.

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Top Tips for Preventing Diabetic Eye Disease

Those with diabetes have their hands full when it comes to effectively managing the disease. From lifestyle changes to medication management and a plethora of medical appointments, tests, and procedures, keeping diabetes in check requires both ongoing education and dedication to following doctors orders.November is Diabetic Eye Disease Month, the perfect time to address this additional facet of diabetes care. You may have heard frightening statistics that link diabetes with blindness, but the truth is, most people with diabetes are at risk for less severe vision problems. However, its important for diabetics and those who care for them to be vigilant in keeping up with eye exams and addressing any concerns that arise immediately.Following are a few of the leading eye conditions that may affect someone with diabetes, according to the American Diabetes Association:Cataracts: The risk of cataracts is 60% more common for those with diabetes. Diabetics also are usually diagnosed with cataracts at a younger age than those without diabetes, and they typically progress faster, too. Mild cataracts can be managed by wearing sunglasses and glare-control lenses, while more developed cataracts will likely need to be removed.Glaucoma: Because diabetics are at a 40% higher risk of contracting glaucoma, its crucial to be screened routinely. The risk increases with age and with the length of time a person has had diabetes. Medications are available to reduce the pressure in the eye, and surgery may be an option as well.Retinopathy: The term retinopathy covers all disorders of the retina caused by diabetes, including the most common form, non-proliferative retinopathy, in which pouches form in the back of the eye, as well as proliferative retinopathy, in which blood vessels close off as the result of damage, causing new, weakened vessels to leak blood. Several different treatment options are available for both of these conditions, and as with other eye conditions, the quicker theyre treated, the better the prognosis.Home Care Can Help!At Home Matters Caregiving, our caregivers are skilled and experienced in helping those with diabetes follow doctors orders to remain in optimal health. Some of the many ways we can help include:Planning and preparing nutritious, diabetes-friendly mealsProviding transportation to the doctor or for any necessary proceduresOffering encouragement to participate in doctor-approved exercisesServing as a friendly companion to brighten each dayAnd much more

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Humana MarketPoint

Medicare Advantage Plans 6300 S Syracuse Way, Centennial, Colorado, 80111

Healthcare at Humana isnt one-size-fits-all. We can help you find the plan that fits your health and wellness needs. At Humana, our focus is on supporting your total health with benefits and extras designed to help you live your best life. Its not just healthcareits human care. Human care goes beyond just your physical health. We offer programs designed to support your social and emotional health, as well.Human carelooks at every facet of your life and works with you to find a health plan that fits your unique needs.