Medicare Part B may cover allergy testing if your clinically significant allergic history or symptoms are not manageable by therapy.
Medicare Advantage (Medicare Part C) also cover allergy testing when medically necessary. Most Medicare Advantage plans also offer additional benefits, such as prescription drug coverage.
Medicare Advantage plans with drug coverage may be able to pay for certain allergy medications, depending on your plan.
A common type of allergy testing that is typically covered by Medicare is percutaneous allergy testing.
With percutaneous allergy testing, an allergen is applied to pricked or scratched skin to test for a reaction.
These allergy tests typically check for reactions to:
Your doctor will take your immunologic history, perform the skin test and interpret the allergy test results with you.
Another type of allergy test that is sometimes covered by Medicare is food testing. During food testing, a small amount of food is introduced to the diet in increasing amounts to test the body’s reaction.
Allergy tests must be considered medically necessary by a doctor to be covered by Medicare.
We recommend speaking with your doctor or health care provider about what allergy services are covered by Medicare before getting any sort of allergy test.
Medicare Advantage plans are sold by private insurers as an alternative to Medicare Part A and Part B (Original Medicare).
All Medicare Advantage plans must cover the same hospital and medical benefits as Part A and Part B, and many include additional benefits not offered by Original Medicare, such as:
If your Medicare Advantage plan covers allergy testing, your costs and provider network restrictions may vary depending on your plan. Be sure to check with your health care provider to find out how your plan might cover the services you need.
Acupuncture is sometimes used to treat allergies. Some Medicare Advantage plans help cover acupuncture even though it is considered alternative medicine and is not covered by Original Medicare.
Note: coverage and costs will vary depending on the Medicare Advantage plan you’re enrolled in, and not every Medicare Advantage plan covers acupuncture.
A licensed insurance agent can help you compare Medicare Advantage plans in your area and get you enrolled in a plan that works for you.
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