Medicare.gov

Speech-language pathology services

Medicare Part B (Medical Insurance) covers medically necessary outpatient speech-language pathology services if you’re eligible 

  • Covered by Part B
  • After you meet the Part B deductible , you pay 20% of the Medicare-approved amount

Description

Speech-language pathology services provide evaluation and treatment to regain and strengthen speech and language skills. This includes cognitive and swallowing skills, or therapy to improve or maintain current function or slow decline.

Who's eligible

Your doctor or other health care provider (including a nurse practitioner, clinical nurse specialist, or physician assistant) must certify you need this care.

Costs

After you meet the Part B deductible , you pay 20% of the Medicare-approved amount

How often

There's no limit on how much Medicare pays for your medically necessary outpatient speech-language pathology services in one calendar year.

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