Your Medicare Coverage
Is my test, item, or service covered?
How often is it covered?
Medicare Part A (Hospital Insurance) covers radiation therapy for patients who are hospital inpatients. Medicare Part B (Medical Insurance) covers this therapy for outpatients or patients in freestanding clinics.
All people with Medicare are covered.
Your costs in Original Medicare
- As an inpatient, you pay the Part A deductible and coinsurance (if applicable).
- As an outpatient, you pay a set copayment, and the Part B deductible applies.
- For therapy at a freestanding facility, you pay 20% of the Medicare-approved amount for the therapy, and the Part B deductible applies.
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.