Your Medicare Coverage

Is my test, item, or service covered?

Chronic care management services

How often is it covered?

Medicare may pay for a health care professional's help to manage your health conditions if both of these apply:

  • You have 2 or more serious chronic conditions.
  • Your conditons are expected to last at least a year.

Chronic care management offers additional help managing conditions like these:

  • Arthritis
  • Asthma
  • Diabetes
  • Hypertension
  • Heart disease
  • Osteoporosis

Services may include:

  • At least 20 minutes per month of chronic care management services
  • Personalized help from a health care professional to create a care plan based on your needs and goals
  • Care coordinated between your doctor, pharmacy, specialists, testing centers, hospitals, and other services
  • Phone check-ins between visits to keep you on track
  • Emergency access to a health care professional, 24 hours a day, 7 days a week
  • Expert help with setting and meeting your health goals

Who's eligible?

All people with Part B are covered. To get started, ask your health care professionals if they provide chronic care management services.

Your costs in Original Medicare

You may pay a monthly fee, and the Part B deductible and coinsurance apply. If you have supplemental insurance, or have both Medicare and Medicaid, it may help cover the monthly fee.

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