Your Medicare Coverage
Is my test, item, or service covered?
Smoking & tobacco use cessation (counseling to stop smoking or using tobacco products)
How often is it covered?
Medicare Part B (Medical Insurance) covers up to 8 face-to-face visits in a 12-month period. These visits must be provided by a qualified doctor or other Medicare-recognized practitioner.
All people with Medicare who use tobacco are covered.
Your costs in Original Medicare
You pay 20% of the Medicare-approved amount for the doctor's services, and the Part B deductible applies if you use tobacco and you've been diagnosed with an illness caused or complicated by tobacco use, or you take a medicine that’s affected by tobacco. In a hospital outpatient setting, you also pay the hospital a copayment.
If you haven't been diagnosed with an illness caused or complicated by tobacco use, you pay nothing for the counseling sessions if the doctor or other health care provider accepts assignment.