Chemotherapy
Medicare covers chemotherapy if you have cancer. Medicare Part A (Hospital Insurance) covers it if you're a hospital inpatient. Medicare Part B (Medical Insurance) covers it if you’re a hospital outpatient or get services in a doctor’s office or freestanding clinic.
Your costs in Original Medicare
After you meet the Part B deductible, you typically pay 20% of the Medicare-approved amount for chemotherapy you get in a doctor's office, freestanding clinic, or hospital outpatient setting. If you get chemotherapy in a hospital outpatient setting, your copayment won't be more than the inpatient deductible amount.
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. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them.
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:
- Other insurance you may have
- How much your doctor charges
- If your doctor accepts assignment
- The type of facility
- Where you get your test, item, or service