Your Medicare Coverage
Find out what Medicare covers
Part B covers Pap tests and pelvic exams to check for cervical and vaginal cancer and a clinical breast exam to check for breast cancer...
Medicare Part B (Medical Insurance) covers a blood-based biomarker screening test to check for colorectal cancer if you meet all of these conditions:You’re between 45–85.You show no symptoms of colorectal disease (including, but not limited to, lower gastrointestinal pain, blood in stool, or…
Medicare covers an at-home multi-target stool DNA lab test once every 3 years if you meet certain conditions.
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Part B covers screening barium enemas...
Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer...
Explanation of prostate cancer screenings covered under Medicare Part B...
Part B covers Low Dose Computed Tomography lung cancer screening once each year if you meet certain conditions...
Part B covers a screening mammogram once every 12 months and a diagnostic mammogram when medically necessary...
Medicare covers screening fecal occult blood tests once every 12 months if you’re 50 or older, if you get a referral from your doctor, physician assistant, nurse practitioner or clinical nurse specialist...
Medicare covers some clinical research studies, which test different types of medical care, like how well a cancer drug works...
Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 45 or older...
Medicare doesn't cover most dental services, procedures, and supplies...
Medicare doesn't cover cosmetic surgery unless it's needed because of accidental injury or to improve the function of a malformed body part. Medicare covers breast prostheses for breast reconstruction if you had a mastectomy because of breast cancer...
Medicare Part B (Medical Insurance) covers disease-specific services to help manage your care for a single, complex chronic condition that puts you at risk of hospitalization, physical or cognitive decline, or death. If you have 1 chronic high-risk condition that you expect to last at…
Part B covers many preventive services...
Medicare covers chemotherapy if you're a cancer patient who's a hospital inpatient or outpatient, as well as if you're a patient in a doctor's office or freestanding clinic...
Medicare Part B (Medical Insurance) covers principal illness navigation services if you have a serious condition that’s expected to last at least 3 months (like cancer, HIV, or substance use disorder) and puts you at a high risk for one or more of the following:HospitalizationNursing home…
Medicare covers up to 8 face-to-face visits in a 12-month period. Medicare covers all people with Medicare who use tobacco...
Part B covers external breast prostheses (including a post-surgical bra) post-mastectomy, outpatient surgically implanted breast prostheses...
Explanation of a limited number of outpatient prescription drugs that are covered under Medicare Part B...
Part B covers up to 12 acupuncture visits in 90 days for chronic low back pain...
Didn’t find what you’re looking for?
- If you have Medicare (or care for someone who does), use this list to check for nationally covered items and services. Remember: Medicare coverage for many other tests, items, and services depends on where you live.
- Talk to your doctor or other health care provider and ask if Medicare will cover the test, item, or service you need.
- Use this list to search by procedure code (CPT/HCPCS) if you’re a Medicare contractor, provider, or other health care industry professional.