Your Medicare Coverage
Is my test, item, or service covered?
Explanation of Medicare’s coverage of a comprehensive pulmonary rehabilitation program for those with moderate to very severe COPD...
Explanation of Medicare Part B coverage for medically-necessary outpatient hospital services...
Medicare Part B (Medical Insurance) covers virtual check-ins (also called “brief communication technology-based services”) with your doctors and certain other providers...
Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 diagnostic laboratory tests.
Medicare covers up to 8 over-the-counter (OTC) COVID-19 tests from any participating pharmacy or health care provider for each calendar month until the COVID-19 public health emergency ends.
Medicare…
Medicare Part B (Medical Insurance) covers FDA-authorized or approved COVID-19 monoclonal antibody products, if all of these apply:
You tested positive for COVID-19.
You have a mild to moderate case of COVID-19.
You’re at high risk of progressing to a severe case of COVID-19 and/or at high risk…
Medicare Part B (Medical Insurance) covers FDA-approved and FDA-authorized COVID-19 vaccines...
Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 antibody tests...
Medicare Part B (Medical Insurance) covers E-visits with your doctors and certain other health care providers...
Medicare Part B (Medical Insurance) covers the seasonal flu shot (or vaccine) once per flu season...
Home health services like intermittent skilled nursing care, physical therapy, speech-language pathology, continued occupational services...
Part A covers medically necessary care you get in an inpatient rehabilitation facility or unit (sometimes called an inpatient “rehab” facility, IRF, acute care rehabilitation center, or rehabilitation hospital)...
Explanation for Medicare Part A coverage of inpatient hospital care...
Explanation of long-term hospital care for Medicare part A participants with more than one serious condition...
Part B covers many preventive services...
Explanation of Medicare Part A coverage of certain skilled care services that are needed daily within an SNF for up to 100 days...
Part B covers certain medical or health services (office visits, psychotherapy, consultations) by using an interactive 2-way telecommunications system with certain providers...
Explanation of inpatient religious, non-medical health care institution (RNHCI) care covered under Medicare based on certain conditions...
Explanation of a limited number of outpatient prescription drugs that are covered under Medicare Part B...
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).