Your Medicare Coverage
Find out what Medicare covers
Part B covers outpatient mental health services at a doctor or other health care provider's office or hospital outpatient department...
Medicare Part A covers mental health care services you get in a hospital that require you to be admitted as an inpatient...
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 services that include intensive psychiatric care, counseling, and therapy. These services must be given in hospitals, Community Mental Health Centers, Federally Qualified Heath Centers, Rural Health Clinics, and Opioid Treatment Programs (when services are…
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...
Medicare covers E-visits to allow you to talk with your provider using an online patient portal without going to the provider’s office. Providers who can give these services include doctors, nurse practitioners, clinical nurse specialists, physician assistants, physical therapists, occupational…
Medicare Part B (Medical Insurance) covers one depression screening per year to find out if you have symptoms of depression. If you or someone you know is struggling or in crisis, call or text 988, the free and confidential Suicide & Crisis Lifeline. You can call…
Medicare Part B (Medical Insurance) covers these services that may help you manage your pain and related issues:Acupuncture for chronic low back painAlcohol misuse screenings & counselingBehavioral health integration servicesChiropractic servicesChronic pain management and treatment…
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…
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)...
Explanation of Medicare Part B coverage for medically-necessary outpatient hospital 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…
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…
Medicare covers up to 6 kidney disease education sessions by a qualified provider to help delay dialysis/prevent disease complications...
Explanation of Medicare Part B coverage doctor and other health care provider services...
Part B covers up to 12 acupuncture visits in 90 days for chronic low back pain...
Home health services like intermittent skilled nursing care, physical therapy, speech-language pathology, continued occupational services...
Part B covers certain medical or health services (office visits, psychotherapy, consultations) by using an interactive 2-way telecommunications system with certain providers...
Medicare Part B covers a broad range of outpatient primary care and preventive services in federally qualified health centers (FQHCs)...
Explanation of Medicare Part B coverage of a broad range of outpatient primary care and preventive services in rural health clinics...
Explanation of inpatient religious, non-medical health care institution (RNHCI) care covered under Medicare based on certain conditions...
If you’ve had Part B for longer than 12 months, you can get a yearly “Wellness” visit once every 12 months...
Medicare covers chronic care management services if you have 2 or more serious conditions (like arthritis) expected to last at least a year...
Medicare doesn't cover long-term care...
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…
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.