Your Medicare Coverage
Find out what Medicare covers
If you’ve had Part B for longer than 12 months, you can get a yearly “Wellness” visit once every 12 months...
Medicare covers an at-home multi-target stool DNA lab test once every 3 years if you meet certain conditions.
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Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer...
Medicare covers screening fecal occult blood tests once every 12 months if you’re 50 or older, if you get a referral from your doctor, physician assistant, nurse practitioner or clinical nurse specialist...
Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 50 or older...
Medicare covers swing bed services in certain hospitals and critical access hospitals (CAHs)...
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 air-fluidized beds and other support surfaces as durable medical equipment (DME) that your doctor prescribes for use in your home...
Generally, Medicare doesn't cover eyeglasses or contact lenses. However, following cataract surgery that implants an intraocular lens, Medicare Part B (Medical Insurance) helps pay for corrective lenses (one pair of eyeglasses with standard frames or one set of contact lenses)...
Medicare Part B (Medical Insurance) helps pay for 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…
Part B helps pay for medically necessary outpatient occupational therapy...
Part B helps pay for medically necessary outpatient speech-language pathology services...
Medicare covers orthopedic shoes if they’re a necessary part of a leg brace...
Part B covers approved procedures, like X-rays, casts, stitches, or outpatient surgeries...
Medicare drug coverage (Part D) also covers drugs like buprenorphine (to treat opioid use disorders) and methadone (when prescribed for pain).Medicare Part A (Hospital Insurance) covers methadone when it’s used to treat an opioid use disorder as a hospital inpatient...
Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 diagnostic tests. ...
Medicare Part B (Medical Insurance) covers E-visits with your doctors and certain other health care providers...
Medicare covers certain screenings, services, and programs that aid in the treatment and recovery of mental health and substance use disorders...
When you visit your provider (including your yearly “Wellness” visit), they may perform a cognitive assessment to look for signs of dementia, including Alzheimer’s disease. Medicare Part B (Medical Insurance) also covers a separate visit with a doctor or health care practitioner to fully…
Medicare Part B (Medical Insurance) covers FDA-authorized COVID-19 monoclonal antibody treatments and 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 of…
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.
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Medicare Part B (Medical Insurance) covers a blood-based biomarker lab test to screen for colorectal cancer if you meet all of these conditions:You’re between 45–85.You show no symptoms of colorectal disease (including, but not limited to, lower gastrointestinal pain, blood in stool, or positive…
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…
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).