Your Medicare Coverage

Is my test, item, or service covered?

Doctor & other health care provider services

How often is it covered?

Medicare Part B (Medical Insurance) covers medically necessary services or covered preventive tests you get from your doctor in:

  • An office setting
  • A hospital
  • A skilled nursing facility (SNF)
  • Your home
  • Other settings

A doctor can be one of these:

  • A Doctor of Medicine (MD)
  • A Doctor of Osteopathic Medicine (DO)
  • In some cases, a dentist, podiatrist, optometrist (eye doctor), or chiropractor

Medicare also covers services provided by other health care providers, like these:

  • Physician assistants
  • Nurse practitioners
  • Clinical nurse specialists
  • Clinical social workers
  • Physical therapists
  • Occupational therapists
  • Speech language pathologists
  • Clinical psychologists

Who's eligible?

All people with Part B are covered.

Your costs in Original Medicare

You pay 20% of the Medicare-approved amount, except for certain preventive services. For these preventive services, you may pay nothing if your doctor or other provider accepts assignment. 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

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