Second surgical opinions
In some cases, Medicare Part B (Medical Insurance) covers a second opinion for medically necessary , non-emergency surgery
Description
A second opinion is when another doctor gives their view about your health problem and how it should be treated.
Coverage details
Medicare also covers a third surgical opinion if the first and second opinions are different.
Costs
After you meet the Part B deductible :
- You pay 20% of the Medicare-approved amount for a second opinion. The second doctor may ask you to get additional tests as a result of the visit. Medicare will cover these tests, just as it covers other services that are medically necessary .
- You pay 20% of the Medicare-approved amount for a third opinion if the second opinion is different from the first opinion.
Ask your doctor or healthcare provider how much your test, item, or service will cost.
Your doctor may recommend services that Medicare does not cover or offers too frequently. This could end up in additional costs for you. Make sure to ask your doctor about the reasons for these recommendations and what Medicare will actually cover.
Specific amounts you could owe depend on:
Other insurance you may have
How much your doctor charges
If your doctor accepts assignment
The type of facility
Where you get your test, item, or service