Second surgical opinions

In some cases, Medicare Part B (Medical Insurance) covers a second opinion for medically necessary, non-emergency surgery. Medicare also covers a third surgical opinion if the first and second opinions are different.

Your costs in Original Medicare

After you meet the Part B deductible , you pay 20% of the Medicare-approved amount . 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. If the second opinion is different from the first opinion, you pay 20% of the Medicare-approved amount for a third opinion.

Find out cost

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
  • If your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service

What it is

A second opinion is when another doctor gives their view about your health problem and how it should be treated.

Is my test, item, or service covered?