Medicare typically does cover CT scans and some other diagnostic tests that are ordered by a doctor in order to diagnose and treat a medical condition.
Medicare Advantage (Medicare Part C) plans can also cover CT scans that are deemed medically necessary by your doctor, and they also include an annual out-of-pocket spending limit.
Original Medicare does not include an out-of-pocket spending limit.
How does Medicare cover CT scans?
Medicare Part B medical insurance typically covers diagnostic tests, like CT scans, that help diagnose and prevent illnesses and other serious conditions.
CT Scans may be ordered by your doctor in order to visualize the inside of your body to check for serious conditions.
Depending on where you undergo your CT scan, Medicare Part A or Part B may cover some of your costs:
- Medicare Part A (hospital insurance) typically covers the hospital and inpatient care costs related to a hospital stay (if you are treated and scanned as an inpatient)
- Medicare Part B (medical insurance) typically covers the costs of doctor’s services related to the CT scan.
Original Medicare may also cover other diagnostic tests such as an MRI, an X-ray, an EKG or ECG and more.
How much does a CT scan cost with Medicare?
You typically pay 20 percent of the Medicare-approved amount for a CT scan in your doctor’s office or another testing facility, after you meet your Part B deductible for the year.
In 2019, the Part B deductible is $185 per year.
You typically pay a copay (a flat fee) if your diagnostic CT scan is performed in a hospital outpatient setting.
Talk with your doctor for specific cost and coverage information.
Medicare Advantage plans may also cover CT scans
Medicare Advantage plans are sold by private insurance companies as an alternative to Original Medicare (Medicare Part A and Part B).
By law, Medicare Advantage plans must cover the same benefits that are offered by Part A and Part B. If your CT Scan is covered by Original Medicare, it will also be covered by a Medicare Advantage plan.
Most Medicare Advantage plans also cover prescription drugs, which are not typically covered by Original Medicare.
Some Medicare Advantage plans may also offer additional benefits, such as:
- Dental coverage
- Vision coverage
- Hearing coverage
- Health and wellness program benefits, such as free gym memberships
You can learn more about Medicare Advantage plans available near you by calling to speak with a licensed insurance agent.
Compare Medicare Advantage plans in your area
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