Pain management
helps pay for these covered services that may help you manage your pain and related issues:
- Medication management
- Behavioral health integration services
- Physical therapy
- Occupational therapy
- Manual manipulation of the spine if to correct a
- Alcohol misuse screenings & counseling
- Depression screenings
- Individual and group therapy
helps pay for:
- Medication Therapy Management programs for complex health needs.
- Opioid pain medication. Prescription opioids, like hydrocodone (Vicodin®), oxycodone (OxyContin®), morphine, codeine, and fentanyl can be used to help relieve severe pain. Some Medicare plans have certain coverage rules to help you use opioids safely. Visit the Drug plan coverage rules page for more information.
- For most pain management services, you pay 20% of the for visits to your doctor or other to diagnose or treat your condition. The Part B applies.
- If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional or amount to the hospital.
- You pay nothing for a yearly depression screening if your doctor or health care provider accepts assignment.
There are many ways to manage pain safely and effectively. While prescription pain medications covered under Medicare prescription drug coverage (Part D) may be effective at treating certain types of pain, especially during short-term use, you might be able to take other medications or do other things to help effectively manage your pain with less risk long term. Talk with your doctor about all your pain treatment options.
There may be other ways to manage your pain. Your doctor may recommend treatment options that Medicare doesn’t cover. For example, Medicare doesn't cover:
- Massage therapy
- Acupuncture
- Cognitive behavioral therapy
If this happens, or if your doctor or other health care provider recommends you get services more often than Medicare covers, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.