Your Medicare Coverage
Find out what Medicare covers
Part B covers 2 different pneumococcal shots. Part B covers the first shot at any time and a different, second shot if it’s given at least one year after the first shot...
Explanation of medially necessary treatment of a surgical or surgically treated wound covered under Medicare Part B...
Medicare Part B (Medical Insurance) covers disease-specific services to help manage your care for 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…
Medicare may cover transitional care management services if you're returning to your community after a stay at certain facilities, like a hospital or skilled nursing facility (SNF)...
If you’ve had Part B for longer than 12 months, you can get a yearly “Wellness” visit 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 doesn't cover long-term care...
Part B doesn’t cover insulin (unless an insulin pump is medically necessary), insulin pens, syringes, needles, alcohol swabs, or gauze...
Part B covers outpatient diabetes self-management training focused on diet, activity, monitoring blood sugar, drugs, and reducing risks...
Medicare Part B (Medical Insurance) covers FDA-authorized or approved COVID-19 monoclonal antibody treatments and products if you have COVID-19 symptoms...
Part B covers ground ambulance transportation when you need to be transported to a hospital, critical access hospital, or skilled nursing facility for medically necessary services, and transportation in any other vehicle could endanger your health. Medicare may pay for emergency ambulance…
Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 diagnostic tests. ...
Medicare may pay for a health care provider’s help to manage a behavioral health condition if your provider offers the Psychiatric Collaborative Care Model...
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 many preventive services...
Medicare covers Opioid Use Disorder (OUD) treatment services for people with Medicare when you get them from a doctor or other health care provider, or through a more comprehensive Opioid Treatment Program (OTP)...
If you don’t have HIV, but your doctor or other health care practitioner determines you're at an increased risk for HIV, Part B (Medical Insurance) covers pre-exposure prophylaxis (PrEP) medication and related services.If you qualify, covered services include:FDA-approved oral or injectable…
If you’re 65 or older, you have a higher risk of getting sick from respiratory viruses like the flu, COVID-19, and Respiratory Syncytial Virus (RSV). Vaccines are a safe way to protect yourself from serious complications and hospital visits. This flu season, it’s important to get your flu…
Medicare Part B (Medical Insurance) covers a separate visit with a doctor or health care provider to fully review your cognitive function, establish or confirm a diagnosis like dementia or Alzheimer's disease, and develop a care plan. Your health care provider might also give you a cognitive…
Medicare Part B (Medical Insurance) may cover your gradient compression garments (standard and custom-fitted) if you've been diagnosed with lymphedema and your doctor or other health care provider prescribes them...
Medicare Part B (Medical Insurance) covers the seasonal flu shot (or vaccine) once per flu season...
Explanation of a limited number of outpatient prescription drugs that are covered under Medicare Part B...
Medicare Part B (Medical Insurance) may cover FDA-approved monoclonal antibodies that target beta-amyloid plaques for the treatment of Alzheimer’s disease if you meet certain criteria. Your doctor or other health care provider must confirm you have beta-amyloid plaques consistent with Alzheimer’s…
If you’re 65 or older, you have a higher risk of getting sick from respiratory viruses like the flu, COVID-19, and Respiratory Syncytial Virus (RSV). Vaccines are a safe way to protect yourself from serious complications and hospital visits. This flu season, it’s important to get your flu, COVID-19…
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.