Your Medicare Coverage
Is my test, item, or service covered?
Obesity screening & counseling
How often is it covered?
Medicare covers 15-minute face-to-face individual behavioral therapy sessions and 30-minute face-to-face group behavioral counseling sessions to help you lose weight. This counseling may be covered if you get it in a primary care setting (like a doctor's office), where it can be coordinated with your other care and a personalized prevention plan. Talk to your primary care doctor or practitioner to find out more.
All people with Medicare Part B (Medical Insurance) who have a body mass index (BMI) of 30 or more are covered.
Your costs in Original Medicare
You pay nothing for this service if the primary care doctor or other qualified primary care practitioner accepts assignment.
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. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.