Speech-language pathology services

Medicare Part B (Medical Insurance)

 helps pay for 

medically necessary

 outpatient speech-language pathology services if your doctor or other health care providers certifies you need it.

Your costs in Original Medicare

You pay 20% of the 

Medicare-Approved Amount

, and the Part B deductible applies.

note:

Medicare law no longer limits how much it pays for your medically necessary outpatient therapy services in one calendar year.

note:

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

note:

Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, 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.

What it is

The evaluation and treatment to regain and strengthen, or maintain current function or slow decline of speech and language skills. This includes cognitive and swallowing skills.

Is my test, item, or service covered?

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