Your Medicare Coverage

Find out what Medicare covers

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Cardiovascular disease screenings

Part B covers blood tests (cholesterol, lipid, triglyceride levels) every 5 years to help detect conditions that may lead to a heart attack or stroke...

Pneumococcal shots

Part B covers 2 different pneumococcal shots. Part B covers the first shot at any time and a different, second shot if it’s given at least one year after the first shot...

Cardiovascular behavioral therapy

Medicare covers one visit per year with your primary care doctor in a primary care setting (like your doctor's office) to help you lower your risk for cardiovascular disease. During this visit, your doctor may discuss aspirin use (if appropriate), check your blood pressure, and give you tips…

Home infusion therapy services, equipment, & supplies

Part B covers infusion equipment and supplies as durable medical equipment (DME) when used in your home...

Pulmonary rehabilitation programs

Explanation of Medicare’s coverage of a comprehensive pulmonary rehabilitation program for those with moderate to very severe COPD...

Prostate cancer screenings

Explanation of prostate cancer screenings covered under Medicare Part B...

Enteral & parenteral nutrition (nutrients, supplies & equipment)

Part B covers enteral nutrition supplies and equipment (feeding pump)...

Continuous Positive Airway Pressure (CPAP) therapy

People diagnosed with obstructive sleep apnea are eligible to get a 3-month trial of Continuous Positive Airway Pressure (CPAP) therapy...

Emergency department services

Explanation for Medicare Part B coverage of emergency department services...

Cardiovascular risk assessment & management services

If you haven’t been diagnosed with cardiovascular disease, Medicare Part B (Medical Insurance) may cover a cardiovascular risk assessment if your doctor or other health care provider determines you’re at risk for developing the disease. ...

Shingles shots

coverage information for shingles shot (vaccine)...

Principal care management services

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 one chronic high-risk condition that you expect to last at…

Blood

Medicare Part A covers blood you get as a hospital inpatient, Part B covers blood you get as a hospital outpatient...

Radiation therapy

Part A covers radiation therapy for hospital inpatients. Part B covers this therapy for outpatients or patients in freestanding clinics...

Surgery

Medicare covers many medically necessary surgical procedures. For surgeries or procedures, it's difficult to know the exact costs in advance because no one knows exactly what services you'll need. If you're having surgery or a procedure, you can do some things in advance to figure…

Tdap shots

Medicare coverage for a shot (or vaccine) to protect against tetanus, diphtheria, and pertussis (whooping cough)...

Abdominal aortic aneurysm screenings

Medicare Part B (Medical Insurance) covers an abdominal aortic aneurysm screening ultrasound once in your lifetime 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 between 65-75 and have smoked at least 100 cigarettes in your…

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.