Your Medicare Coverage

149 results

Diagnostic laboratory tests

Part B covers medically necessary clinical diagnostic laboratory tests, when your doctor or practitioner orders them...

Prostate cancer screenings

Explanation of prostate cancer screenings covered under Medicare Part B...

Hyperbaric oxygen therapy

Medicare Part B (Medical Insurance) covers hyperbaric oxygen therapy if you have certain conditions...

Diagnostic non-laboratory tests

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...

Outpatient medical & surgical services & supplies

Part B covers approved procedures, like X-rays, casts, stitches, or outpatient surgeries...

Chronic pain management & treatment services

Part B covers monthly services for people living with chronic pain (persistent or recurring pain lasting longer than 3 months). Services may include pain assessment, medication management, and care coordination and planning...

Caregiver training services

Medicare Part B (Medical Insurance)  covers caregiver training services for caregivers involved in the treatment of Medicare patients if both of these conditions apply:The training focuses on helping the patient meet the health and treatment goals they set with their doctor or other health…

Principal illness navigation services

Medicare Part B (Medical Insurance)  covers principal illness navigation services if you have a serious condition that’s expected to last at least 3 months (like cancer, HIV, or substance use disorder) and puts you at a high risk for one or more of the following:HospitalizationNursing home…

Social determinants of health risk assessment

Social determinants of health are non-medical factors that can impact your health and quality of life, like your:Living environmentAccess to foodEmployment statusEducation and literacy levelsFamily circumstancesMedicare Part B (Medical Insurance) covers this risk assessment when your doctor or…

Other transplants

Under certain conditions, Medicare covers transplants that aren’t organ transplants. Under certain conditions, Part A (Hospital Insurance) covers: Stem cell transplants Necessary tests, labs, and exams associated with the transplant Under certain conditions, Part…

Community health integration services

If your doctor or other health care provider gives you a social determinants of health risk assessment, they may find that social factors (like limited access to food or your living environment) are impacting your health or access to care. In these cases, Medicare Part B (Medical Insurance) covers…

Alcohol misuse screenings & counseling

Part B covers an alcohol misuse screening once per year if you’re an adult (including pregnant women) who uses alcohol, but you don’t meet the medical criteria for alcohol dependency. If your primary care doctor or other health care provider determines you’re misusing alcohol, you can get up to 4…

Blood

Medicare Part A covers blood you get as a hospital inpatient, Part B covers blood you get as a hospital outpatient...

Bone mass measurements

Medicare Part B (Medical Insurance) covers bone mass measurement (bone density) tests (like a dexa scan), which help to see if you're at risk to broken bones, once every 24 months (more often if medically necessary) for people who meet the criteria below...

Electrocardiogram (EKG or ECG) screenings

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.)...

Foot care

Part B covers medically necessary podiatrist services to treat foot injuries or diseases (like hammer toes, bunion deformities, heel spurs)...

Occupational therapy services

Part B helps pay for medically necessary outpatient occupational therapy...

Orthopedic shoes

Medicare covers orthopedic shoes if they’re a necessary part of a leg brace...

Ostomy supplies

Part B covers medically necessary ostomy supplies if you’ve had a colostomy, ileostomy, or urinary ostomy. Medicare covers the amount of supplies your doctor says you need, based on your condition...

Pressure-reducing support surfaces

Part B covers pressure-reducing support surfaces as durable medical equipment (DME) that your doctor prescribes for use in your home.If you live in certain states, you may have to get prior approval for 5 types of pressure-reducing support surfaces...

Didn’t find what you’re looking for?

If you have Medicare (or care for someone who does), use this list to check for nationally covered items and services. Remember: Medicare coverage for many other tests, items, and services depends on where you live.
Talk to your doctor or other health care provider and ask if Medicare will cover the test, item, or service you need.
Use this list to search by procedure code (CPT/HCPCS) if you’re a Medicare contractor, provider, or other health care industry professional.