Your Medicare Coverage
Find out what Medicare covers
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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...
Mental health care (intensive outpatient program services)
Medicare Part B (Medical Insurance) covers services that include intensive psychiatric care, counseling, and therapy. You can get these services in hospitals, community mental health centers, Federally Qualified Heath Centers, or Rural Health Clinics. Part B also covers these services at Opioid…
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...
Mental health care (partial hospitalization)
Medicare Part B covers partial hospitalization services furnished by a hospital to its outpatients or by a community mental health center...
Behavioral health integration services
Medicare may pay for a health care provider’s help to manage a behavioral health condition if your provider offers the Psychiatric Collaborative Care Model...
Inpatient hospital care
Explanation for Medicare Part A coverage of inpatient hospital care...
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…
Inpatient rehabilitation care
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)...
Outpatient hospital services
Explanation of Medicare Part B coverage for medically-necessary outpatient hospital services...
Doctor & other health care provider services
Explanation of Medicare Part B coverage doctor and other health care provider services...
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...
E-visits
Medicare covers e-visits (non-face-to-face communications you can have with your doctor or other health care provider without going to their office). To start an e-visit, you'll use an online patient portal. You can get these services from different health care providers, including:…
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…
Opioid Use Disorder treatment services
Medicare Part B (Medical Insurance) covers Opioid Use Disorder treatment services you get from a doctor or other health care provider, or through a more comprehensive Opioid Treatment Program (including opioid treatment program mobile units). ...
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…
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...
Breast prostheses
Part B covers external breast prostheses (including a post-surgical bra) post-mastectomy, outpatient surgically implanted breast prostheses...
Chemotherapy
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...
Dental services
Medicare doesn't cover most dental services, procedures, and supplies...
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…
Defibrillators
Part A or Medicare Part B may cover implantable defibrillators...
Social determinants of health risk assessment
Social determinants of health are non-medical factors that can impact your health and quality of life, like your:Living environmentAccess to foodEmployment statusEducation and literacy levelsFamily circumstancesMedicare Part B (Medical Insurance) covers a social determinants of health risk…
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…
Kidney transplants
Explanation of kidney transplants covered under Medicare Part A...
Kidney disease education
Medicare covers up to 6 kidney disease education sessions by a qualified provider to help delay dialysis/prevent disease complications...
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.