Your Medicare Coverage
Is my test, item, or service covered?
Part B covers medically necessary clinical diagnostic laboratory services, including certain blood tests, when your doctor or practitioner orders them...
Explanation of Medicare Part B coverage of a broad range of outpatient primary care and preventive services in rural health clinics...
Part B covers external breast prostheses (including a post-surgical bra) post-mastectomy, outpatient surgically implanted breast prostheses...
Medicare covers comprehensive cardiac rehabilitation (CR) programs like exercise, education, and counseling, and intensive (ICR) programs...
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...
Part A or Medicare Part B may cover implantable defibrillators...
Medicare covers certain screenings, services, and programs that aid in the treatment and recovery of mental health and substance use disorders...
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 a glaucoma test conducted or supervised by an eye doctor legally allowed to do the test in your state once every 12 months...
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...
Medicare Part B (Medical Insurance) covers a foot exam every 6 months as long as you haven't seen a foot care professional for another reason between visits...
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.
...
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 outpatient mental health services at a doctor or other health care provider's office or hospital outpatient department...
Part B covers up to 12 acupuncture visits in 90 days for chronic low back pain...
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).