Your Medicare Coverage
Find out what Medicare covers
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Principal illness navigation services
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…
Community health integration services
If your doctor or other health care provider gives you a social determinants of health risk assessment, they may find that social factors (like limited access to food or your living environment) are impacting your health or access to care. In these cases, Medicare Part B (Medical Insurance) covers…
Alcohol misuse screenings & counseling
Part B covers one alcohol misuse screening each year if you’re an adult 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 brief face-to-face counseling…
Dialysis services & supplies
Explanation for Medicare Part A and Medicare Part B coverage of dialysis (kidney) services and supplies...
Pressure-reducing support surfaces
Medicare Part B (Medical Insurance) covers pressure-reducing support surfaces as durable medical equipment (DME) that your doctor or other health care provider prescribes for use in your home. You’ll have to get prior approval for certain types of pressure-reducing support services (like…
Respiratory Syncytial Virus (RSV) Shot
If you’re 65 or older, you have a higher risk of getting sick from respiratory viruses like the flu, COVID-19, and Respiratory Syncytial Virus (RSV). Vaccines are a safe way to protect yourself from serious complications and hospital visits. This flu season, it’s important to get your flu…
Depression screening
Medicare Part B (Medical Insurance) covers one depression screening per year.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 and speak with a trained crisis counselor 24 hours a day…
Mental health care (inpatient)
Medicare Part A covers mental health care services you get in a hospital that require you to be admitted as an inpatient...
Religious nonmedical health care institution items & services
Explanation of inpatient religious, non-medical health care institution (RNHCI) care covered under Medicare based on certain conditions...
Foot care
Part B covers medically necessary podiatrist services to treat foot injuries or diseases (like hammer toes, bunion deformities, heel spurs)...
Durable medical equipment (DME) coverage
Part B covers medically necessary durable medical equipment (DME) that meet certain criteria prescribed for use in your home...
Skilled nursing facility care
Explanation of Medicare Part A coverage of certain skilled care services that are needed daily within an SNF for up to 100 days...
Travel outside the U.S.
Medicare may pay for inpatient hospital, doctor or ambulance services you get when you travel outside the U.S. in rare cases...
Ostomy supplies
Part B covers medically necessary ostomy supplies if you’ve had a colostomy, ileostomy, or urinary ostomy. Medicare covers the amount of supplies your doctor says you need, based on your condition...
Nebulizers & nebulizer medications
Explanation of nebulizers and nebulizer mediations under Medicare Part B...
Coronavirus disease 2019 (COVID-19) monoclonal antibody treatments & products
Medicare Part B (Medical Insurance) covers FDA-authorized or -approved COVID-19 monoclonal antibody treatments and products if you have COVID-19 symptoms...
Medical nutrition therapy services
Part B covers medical nutrition therapy (MNT) services and certain services by a Registered Dietician or nutrition professional...
Flu shots
Medicare Part B (Medical Insurance) covers the seasonal flu shot (or vaccine) once per flu season...
Pain management
Medicare Part B (Medical Insurance) covers these services that may help you manage your pain and related issues:Acupuncture for chronic low back painAlcohol misuse screenings & counselingBehavioral health integration servicesChiropractic servicesChronic pain management and treatment…
Therapeutic shoes & inserts
Part B covers one pair of custom-molded shoes and inserts, shoe modifications, or one pair of extra-depth shoes each calendar year...
Prescription drugs (outpatient)
Explanation of a limited number of outpatient prescription drugs that are covered under Medicare Part B...
Prosthetic devices
Part B covers prosthetic devices needed to replace a body part or function when a doctor or other health care provider enrolled in Medicare orders them...
Mental health care (outpatient)
Part B covers outpatient mental health services at a doctor or other health care provider's office or hospital outpatient department...
Outpatient medical & surgical services & supplies
Part B covers approved procedures, like X-rays, casts, stitches, or outpatient surgeries...
Coronavirus disease 2019 (COVID-19) vaccine
If you’re 65 or older, you have a higher risk of getting sick from respiratory viruses like the flu, COVID-19, and Respiratory Syncytial Virus (RSV). Vaccines are a safe way to protect yourself from serious complications and hospital visits. This flu season, it’s important to get your flu, COVID-19…
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