Your Medicare Coverage
Find out what Medicare covers
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…
Medicare covers some clinical research studies, which test different types of medical care, like how well a cancer drug works...
If you don’t have HIV, but your doctor or other health care practitioner determines you're at an increased risk for HIV, Part B (Medical Insurance) covers pre-exposure prophylaxis (PrEP) medication and related services.If you qualify, covered services include:FDA-approved oral or injectable…
Part A covers medically necessary care you get in an inpatient rehabilitation facility or unit (sometimes called an inpatient “rehab” facility, IRF, acute care rehabilitation center, or rehabilitation hospital)...
Medicare Part B (Medical Insurance) covers bone mass measurement (bone density) tests (like a dexa scan), which help to see if you're at risk to broken bones, once every 24 months (more often if medically necessary) for people who meet the criteria below...
Part B covers a glaucoma test conducted or supervised by an eye doctor legally allowed to do the test in your state once every 12 months...
Medicare covers one Hepatitis C screening test if your primary care doctor or practitioner orders it and if you meet certain conditions...
Part B covers ground ambulance transportation when you need to be transported to a hospital, critical access hospital, or skilled nursing facility for medically necessary services, and transportation in any other vehicle could endanger your health. Medicare may pay for emergency ambulance…
Medicare covers a "Welcome to Medicare" preventive visit with your primary care doctor. You can get the "Welcome to Medicare" introductory visit only within the first 12 months you have Part B. Read about what to expect during your "Welcome to Medicare" preventive…
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.)...
Part B doesn’t cover insulin (unless an insulin pump is medically necessary), insulin pens, syringes, needles, alcohol swabs, or gauze...
Part B covers voluntary advance care planning as part of your yearly “Wellness” visit. Medicare may also cover this service as part of your medical treatment...
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...
Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 diagnostic tests. ...
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...
Part B covers a screening mammogram once every 12 months and a diagnostic mammogram when medically necessary...
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…
Part B covers external breast prostheses (including a post-surgical bra) post-mastectomy, outpatient surgically implanted breast prostheses...
Explanation for Medicare Part A and Medicare Part B coverage of dialysis treatment for your child...
Medicare Part B (Medical Insurance) covers FDA-authorized or approved COVID-19 monoclonal antibody treatments and products if you have COVID-19 symptoms...
Explanation for Medicare Part A and Medicare Part B coverage of dialysis (kidney) services and supplies...
Medicare Part B (Medical Insurance) covers the seasonal flu shot (or vaccine) once per flu season...
Medicare Part B (Medical Insurance) covers virtual check-ins with your doctor or certain other providers using audio or video communication technology like your phone or a computer, without going to the doctor's office...
Part B covers a diabetes prevention program once if you meet certain conditions...
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…
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.