Your Medicare Coverage

Find out what Medicare covers

Showing 1-25 of 109 results

Pulmonary rehabilitation programs

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

Blood-based biomarker tests (screening) for colorectal cancer

Medicare Part B (Medical Insurance) covers a blood-based biomarker screening test to check for colorectal cancer if you meet all of these conditions:You’re between 45–85.You show no symptoms of colorectal disease (including, but not limited to, lower gastrointestinal pain, blood in stool, or…

Fecal occult blood tests (screening)

Medicare covers fecal occult blood screening tests once every 12 months if you’re 50 or older, if you get a written referral from your doctor, physician assistant, nurse practitioner or clinical nurse specialist...

Multi-target stool DNA tests (screening)

Medicare covers an at-home multi-target stool DNA lab test once every 3 years if you meet certain conditions. ...

Clinical laboratory tests

Part B covers medically necessary clinical diagnostic laboratory services, including certain blood tests, when your doctor or practitioner orders them...

Diagnostic laboratory tests

Part B covers medically necessary clinical diagnostic laboratory tests, when your doctor or practitioner orders them...

Macular degeneration tests & treatment

Part B covers certain diagnostic tests and treatment of eye disease/conditions for some people with age-related macular degeneration (AMD)...

Diagnostic non-laboratory tests

Medicare Part B covers diagnostic non-laboratory tests (like CT scans, MRIs, EKGs, X-rays, and PET scans) when your doctor or other health care provider orders them as part of treating a medical problem...

Cosmetic surgery

Medicare doesn't cover cosmetic surgery unless it's needed because of accidental injury or to improve the function of a malformed body part. Medicare covers breast prostheses for breast reconstruction if you had a mastectomy because of breast cancer...

Coronavirus disease 2019 (COVID-19) antibody tests

Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 antibody tests...

Coronavirus disease 2019 (COVID-19) diagnostic laboratory tests

Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 diagnostic tests. ...

Computed tomography (CT) colonography (screening)

If you’re 45 or older and at high risk for colorectal cancer, Medicare Part B (Medical Insurance) covers a computed tomography (CT) colonography screening test once every 24 months. If you aren’t at high risk, Medicare covers the test once every 60 months, or 48 months after a previous flexible…

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...

Speech-language pathology services

Part B helps pay for medically necessary outpatient speech-language pathology services...

Colonoscopies (screening)

Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer...

Physical therapy services

Part B helps pay for medically necessary outpatient physical therapy...

Blood sugar test strips

Medicare Part B covers some diabetic test supplies, including blood sugar test strips as durable medical equipment (DME)...

Cognitive assessment & care plan services

Medicare Part B (Medical Insurance) covers a separate visit with a doctor or health care provider to fully review your cognitive function, establish or confirm a diagnosis like dementia or Alzheimer's disease, and develop a care plan. Your health care provider might also give you a cognitive…

Kidney disease education

Medicare covers up to 6 kidney disease education sessions by a qualified provider to help delay dialysis/prevent disease complications...

Flexible sigmoidoscopy (screening)

Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 45 or older...

Yearly "Wellness" visits

If you’ve had Part B for longer than 12 months, you can get a yearly “Wellness” visit once every 12 months...

Clinical research studies

Medicare covers some clinical research studies, which test different types of medical care, like how well a cancer drug works...

Eye exams (for diabetes)

Explanation of Medicare Part B's coverage of a yearly eye exam for diabetic retinopathy...

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...

Eye exams (routine)

Medicare doesn’t cover eye exams for eyeglasses or contact lenses...

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.