Your Medicare Coverage

Is my test, item, or service covered?

Chemotherapy

How often is it covered?

Medicare covers chemotherapy if one of these applies:

  • You're a cancer patient who's a hospital inpatient or outpatient.
  • You're a patient in a doctor's office or freestanding clinic.

Who's eligible?

All people with Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) are covered. Part A covers hospital inpatients, and Part B covers hospital outpatients and patients in a doctor's office or freestanding clinic.

Your costs in Original Medicare

You pay a copayment if you're a hospital outpatient.

You pay 20% of the Medicare-approved amount if you get your treatment in a doctor's office or freestanding clinic. The Part B deductible applies.

Note

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
  • Whether your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service
Note

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 whether Medicare will pay for them.

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