Your Medicare Coverage
Find out what Medicare covers
Part B covers medically necessary clinical diagnostic laboratory tests, when your doctor or practitioner orders them...
Original Medicare doesn't cover gym memberships or fitness programs like Silver Sneakers. Check with your Medicare health plan or Medicare supplement (Medigap) plan to see if gym memberships or fitness programs are part of extra coverage that it may offer...
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...
Part B covers approved procedures, like X-rays, casts, stitches, or outpatient surgeries...
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 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…
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…
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 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…
Home health services like intermittent skilled nursing care, physical therapy, speech-language pathology, continued occupational services...
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…
RSV is a respiratory virus that causes cold-like symptoms. People who are 65 and older are at high risk of having serious health complications from RSV. Getting the RSV shot can protect you from getting RSV.Medicare drug coverage (Part D) covers the RSV shot (not Part A (Hospital Insurance) or Part…
Starting January 1, 2024, Medicare Part B (Medical Insurance) covers gradient compression garments (standard and custom-fitted) if you've been diagnosed with lymphedema and your doctor or other health care provider prescribes them...
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…
Medicare covers the updated (2023–2024 formula) Moderna or Pfizer-BioNTech COVID-19 vaccine for people 5 and older.If you’re 65 or older and/or immunocompromised (like people who have had an organ transplant and are at risk for infections and other diseases), you can get a 3-dose series of updated…
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…
Medicare covers one Hepatitis C screening test if your primary care doctor or practitioner orders it and if you meet certain conditions...
Medicare covers Hepatitis B Virus (HBV) infection screenings if you’re at high risk or pregnant.
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Medicare covers some bariatric surgeries (gastric bypass surgery and laparoscopic banding) when certain morbid obesity conditions are met...
Medicare Part A covers blood you get as a hospital inpatient, Part B covers blood you get as a hospital outpatient...
Part B covers air-fluidized beds and other support surfaces as durable medical equipment (DME) that your doctor prescribes for use in your home...
Part B covers medically necessary manual spine manipulation provided by chiropractors or other qualified providers to correct a subluxation...
Medicare Part B (Medical Insurance) covers canes as durable medical equipment (DME). Medicare doesn't cover white canes for the blind...
Medicare Part B covers blood sugar monitors as durable medical equipment (DME) that your doctor prescribes for use in your home...
Medicare Part B covers some diabetic test supplies, including blood sugar test strips as durable medical equipment (DME)...
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).