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Cognitive assessment & care plan services

Medicare Part B (Medical Insurance) covers a separate visit for a cognitive assessment

  • Covered by Part B

  • After the Part B deductible , you pay 20% of the Medicare-approved amount

Description

During a cognitive assessment, the doctor or health care provider may:

  • Perform an exam, talk with you about your medical history, and review your medications.
  • Identify your social supports, including care that your usual caregiver can provide.
  • Create a care plan to help address and manage your symptoms.
  • Help you develop or update your advance care plan.
  • Refer you to a specialist, if needed.
  • Help you understand more about community resources, like rehabilitation services, adult day health programs, and support groups. 

Coverage details

Medicare Part B (Medical Insurance) covers a separate visit with a doctor or health care provider to fully review your cognitive function, establish or confirm a diagnosis like dementia or Alzheimer's disease, and develop a care plan. Your health care provider might also give you a cognitive assessment to look for signs of dementia when you go for other visits, including your yearly preventive “Wellness” visit.

When you have an assessment, you can bring someone with you (like a spouse, friend, or caregiver) to help listen to information and answer questions.

Some people living with dementia, their family, and unpaid caregivers may be able to get additional support through the Guiding an Improved Dementia Experience Model pilot program. Talk to your provider for more information and to find out if they’re participating. 

What are signs of cognitive impairment?

Costs

After you meet the Part B deductible , you pay 20% of the Medicare-approved amount.

Other related information