Your Medicare Coverage
Is my test, item, or service covered?
Part B covers external breast prostheses (including a post-surgical bra) post-mastectomy, outpatient surgically implanted breast prostheses...
Medicare covers chemotherapy if you're a cancer patient who's a hospital inpatient or outpatient, as well as if you're a patient in a doctor's office or freestanding clinic...
Medicare covers some clinical research studies, which test different types of medical care, like how well a cancer drug works...
Explanation of prostate cancer screenings covered under Medicare Part B...
Medicare doesn't cover cosmetic surgery unless it's needed because of accidental injury or to improve the function of a malformed body part. Medicare covers breast prostheses for breast reconstruction if you had a mastectomy because of breast cancer...
Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer...
Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 50 or older...
Part B covers screening barium enemas...
Medicare covers an at-home multi-target stool DNA lab test once every 3 years if you meet certain conditions.
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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 45–85.
You show no symptoms of colorectal disease (including, but not limited to, lower gastrointestinal pain, blood in stool, or…
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...
Part B covers up to 12 acupuncture visits in 90 days for chronic low back pain...
Part B covers Pap tests and pelvic exams to check for cervical and vaginal cancer and a clinical breast exam to check for breast cancer...
Medicare covers up to 8 face-to-face visits in a 12-month period. Medicare covers all people with Medicare who use tobacco...
Part B covers a screening mammogram once every 12 months and a diagnostic mammogram when medically necessary...
Part B covers Low Dose Computed Tomography lung cancer screening once each year if you meet certain conditions...
Explanation of a limited number of outpatient prescription drugs that are covered under Medicare Part B...
Part B covers many preventive services...
Medicare Part B (Medical Insurance) covers disease-specific services to help you manage a single, complex chronic condition that puts you at risk of hospitalization, physical or cognitive decline, or death. If you have 1 chronic high-risk condition that you expect to last at least 3 months (like…
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).