Doctor & other health care provider services

Medicare Part B (Medical Insurance)

 covers 

medically necessary

 doctor services (including outpatient services and some doctor services you get when you’re a hospital inpatient) and covered preventive services.

Your costs in Original Medicare

You pay 20% of the 

Medicare-Approved Amount

 for most services. You pay nothing for certain preventive services if your doctor or other provider accepts 

assignment

. The Part B 

deductible [glossary]

 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
Things to know

A doctor can be one of these:

  • Doctor of Medicine (MD)
  • Doctor of Osteopathic Medicine (DO)
  • In some cases, a dentist, podiatrist (foot doctor), 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

Is my test, item, or service covered?

Find out who to call about Medicare options, claims and more.

Try the "What's covered" mobile app!