Second surgical opinions

Medicare Part B (Medical Insurance)

 covers a second opinion by a doctor that accepts Medicare in some cases for 

medically necessary

 surgery that isn’t an emergency. Medicare also will help pay for a third opinion if the first and second opinions are different.

Your costs in Original Medicare

You pay 20% of the 

Medicare-Approved Amount

. The Part B 

deductible [glossary]

 applies. The second doctor may ask you to get additional tests as a result of the visit. Medicare will help pay for these tests, just as it helps pay for other services that are medically necessaryIf the second opinion doesn't agree with the first opinion, you pay 20% of the Medicare-approved amount for a third opinion.



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
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?

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

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