Your Medicare Coverage
Find out what Medicare covers
Part B covers medically necessary clinical diagnostic laboratory tests, when your doctor or practitioner orders them...
Explanation of prostate cancer screenings covered under Medicare Part B...
Medicare Part B covers diagnostic non-laboratory tests (like CT scans, MRIs, EKGs, X-rays, and PET scans) when your doctor or other health care provider orders them as part of treating a medical problem...
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…
Part B covers an alcohol misuse screening once per year if you’re an adult (including pregnant women) who uses alcohol, but you don’t meet the medical criteria for alcohol dependency. If your primary care doctor or other health care provider determines you’re misusing alcohol, you can get up to 4…
Part B covers an EKG or ECG (as a one-time screening with a referral from your doctor as part of your "Welcome to Medicare" preventive visit and as a diagnostic test.)...
Medicare Part B (Medical Insurance) covers an abdominal aortic screening ultrasound once if you’re at risk. You’re considered at risk if you have a family history of abdominal aortic aneurysms, or you’re a man age 65-75 and have smoked at least 100 cigarettes in your lifetime...
Part B covers the facility service fees related to approved surgical procedures provided in an ambulatory surgical center...
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...
Part B covers external breast prostheses (including a post-surgical bra) post-mastectomy, outpatient surgically implanted breast prostheses...
Part B covers medically necessary clinical diagnostic laboratory services, including certain blood tests, when your doctor or practitioner orders them...
Medicare covers up to 8 face-to-face visits in a 12-month period. Medicare covers all people with Medicare who use tobacco...
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 doesn't cover most dental services, procedures, and supplies...
Medicare Part B (Medical Insurance) covers one depression screening per year to find out if you have symptoms of depression. If you or someone you know is struggling or in crisis, call or text 988, the free and confidential Suicide & Crisis Lifeline. You can call…
Part B covers a screening mammogram once every 12 months and a diagnostic mammogram when medically necessary...
Medicare covers weight loss counseling. Sometimes, it’s covered in a doctor's office, so it’s coordinated with other care and a personalized prevention plan...
Part B covers outpatient mental health services at a doctor or other health care provider's office or hospital outpatient department...
Medicare Part B covers partial hospitalization services furnished by a hospital to its outpatients or by a community mental health center...
Part B covers up to 12 acupuncture visits in 90 days for chronic low back pain...
Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 45 or older...
Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer...
Medicare covers an at-home multi-target stool DNA lab test once every 3 years if you meet certain conditions.
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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...
Part B covers screening barium enemas...
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.