Your Medicare Coverage
Find out what Medicare covers
Showing 76-100 of 147 results
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…
Clinical research studies
Medicare covers some clinical research studies, which test different types of medical care, like how well a cancer drug works...
Pre-exposure prophylaxis (PrEP) for HIV prevention
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…
Bone mass measurements
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...
Glaucoma screenings
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...
Hepatitis C Virus infection screenings
Medicare covers one Hepatitis C screening test if your primary care doctor or practitioner orders it and if you meet certain conditions...
"Welcome to Medicare" preventive visit
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…
Ambulance services
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…
Electrocardiogram (EKG or ECG) screenings
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.)...
Insulin
Part B doesn’t cover insulin (unless an insulin pump is medically necessary), insulin pens, syringes, needles, alcohol swabs, or gauze...
Advance care planning
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...
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...
Coronavirus disease 2019 (COVID-19) diagnostic laboratory tests
Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 diagnostic tests. ...
Mammograms
Part B covers a screening mammogram once every 12 months and a diagnostic mammogram when medically necessary...
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…
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...
Virtual check-ins
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...
Flu shots
Medicare Part B (Medical Insurance) covers the seasonal flu shot (or vaccine) once per flu season...
Medicare Diabetes Prevention Program
Part B covers a diabetes prevention program once if you meet certain conditions...
Counseling to prevent tobacco use & tobacco-caused disease
Medicare covers up to 8 face-to-face visits in a 12-month period. Medicare covers all people with Medicare who use tobacco...
Durable medical equipment (DME) coverage
Part B covers medically necessary durable medical equipment (DME) that meet certain criteria prescribed for use in your home...
Urgently needed care
Medicare Part B (Medical Insurance) covers urgently needed care to treat a sudden illness or injury that isn't a medical emergency...
Foot care (for diabetes)
Medicare Part B (Medical Insurance) covers a foot exam every 6 months as long as you haven't seen a foot care professional for another reason between visits...
Fecal occult blood tests (screening)
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...
Surgical dressing services
Explanation of medially necessary treatment of a surgical or surgically treated wound covered under Medicare Part B...
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- 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.