Your Medicare Coverage
Is my test, item, or service covered?
Medicare covers screening fecal occult blood tests once every 12 months if you’re 50 or older, if you get a referral from your doctor, physician assistant, nurse practitioner or clinical nurse specialist...
Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 50 or older...
Medicare Part B covers diagnostic non-laboratory tests (like CT scans, MRIs, EKGs, X-rays, and PET scans) when your doctor or other health care provider orders them as part of treating a medical problem...
Medicare Part B (Medical Insurance)
helps pay for these services that may help you manage your pain and related issues:
Behavioral health integration services
Physical therapy
Occupational therapy
Manual manipulation of the spine if
medically necessary
to correct a
subluxation…
Medicare covers certain screenings, services, and programs that aid in the treatment and recovery of mental health and substance use disorders...
Medicare Part B (Medical Insurance) covers a blood-based biomarker lab test to screen for colorectal cancer if you meet all of these conditions:
You’re between 50–85.
You show no symptoms of colorectal disease (including, but not limited to, lower gastrointestinal pain, blood in stool, or…
When you see your provider for a visit (including your yearly “Wellness” visit), they may perform a cognitive assessment to look for signs of dementia, including Alzheimer’s disease. Medicare Part B (Medical Insurance) also covers a separate visit with your regular doctor or a specialist to fully…
Explanation of Medicare Part B coverage for medically-necessary outpatient hospital services...
Medicare Part B covers partial hospitalization services furnished by a hospital to its outpatients or by a community mental health center...
Part B covers certain diagnostic tests and treatment of eye disease/conditions for some people with age-related macular degeneration (AMD)...
Part B covers an EKG or ECG (as a one-time screening with a referral from your doctor as part of your "Welcome to Medicare" preventive visit and as a diagnostic test.)...
Part B covers medically necessary clinical diagnostic laboratory tests, when your doctor or practitioner orders them...
Medicare Part B (Medical Insurance) covers Hepatitis B shots for people with Medicare at medium or high risk for Hepatitis B...
Medicare Part A covers mental health care services you get in a hospital that require you to be admitted as an inpatient...
Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer...
Part B covers a glaucoma test conducted or supervised by an eye doctor legally allowed to do the test in your state once every 12 months...
Medicare covers a "Welcome to Medicare" preventive visit with your primary care doctor. You can get the "Welcome to Medicare" introductory visit only within the first 12 months you have Part B. Read about what to expect during your "Welcome to Medicare" preventive…
Medicare Part B (Medical Insurance) covers an abdominal aortic screening ultrasound once if you’re at risk. You’re considered at risk if you have a family history of abdominal aortic aneurysms, or you’re a man age 65-75 and have smoked at least 100 cigarettes in your lifetime...
Medicare covers some bariatric surgeries (gastric bypass surgery and laparoscopic banding) when certain morbid obesity conditions are met...
Part B covers the facility service fees related to approved surgical procedures provided in an ambulatory surgical center...
Didn’t find what you’re looking for?
- Use this list if you’re a person with Medicare, family member or caregiver. Medicare coverage for many tests, items and services depends on where you live. This list only includes tests, items and services (both covered and non-covered) if coverage is the same no matter where you live.
- If your test, item or service isn’t listed, talk to your doctor or other health care provider about why you need certain tests, items or services. Ask if Medicare will cover them.
- Use this list if you’re a Medicare contractor, provider or other health care industry professional. This list includes the ability to search by procedure codes (CPT/HCPCS codes).