Covered Medical and Hospital Benefits  (cont.) 
IN-NETWORK OUT-OF-NETWORK 
VISION SERVICES 
Medicare-covered vision 
services $30 copay $30 copay 
Medicare-covered diabetic eye 
exam $0 copay $0 copay 
Medicare-covered glaucoma 
screening $0 copay $0 copay 
Medicare-covered eyewear 
(post-cataract) $0 copay $0 copay 
Routine vision  
The provider locator for routine 
vision can be found at  
Humana.com >Find aDoctor > 
select Vision care icon >Vision 
coverage through Medicare 
Advantage plans. VIS751