What Procedures Does Medicare Cover?

Procedures Medicare does cover

Medicare Part A and Part B make up what is known as “Original Medicare.”

  • Part A provides coverage for inpatient hospital services.
  • Part B covers outpatient care and durable medical equipment (DME).

Original Medicare coverage typically requires the care to be “medically necessary” in order for it to be covered by Part A or Part B. Certain other restrictions may apply, depending on the procedure you need. 

Depending on the type of service you get and how Medicare covers it, you may face certain deductible, coinsurance and/or copayment costs.

The services and items below are not necessarily a complete list of procedures that are covered by Original Medicare.

Click on each item in the list to learn more about how it’s covered by Medicare and how much they may cost. 

Procedures Medicare typically doesn't cover may be covered by some Medicare Advantage plans

Some procedures that aren't typically covered by Original Medicare may sometimes be covered by certain Medicare Advantage (Medicare Part C) plans.

These procedures may include but are not limited to the following:

All Medicare Advantage plans are required by law to provide all of the same benefits found under Original Medicare.

Many Medicare Advantage plans also offer prescription drug coverage, and some plans offer benefits like dental, vision, hearing, gym and wellness program memberships and more, all of which aren't typically covered by Original Medicare.

Check with your Medicare Advantage plan carrier or a licensed insurance agent for help determining which procedures, services and items may be covered by your Medicare Advantage plan or a plan in your area. 

Find Medicare plans that cover the procedures you need.

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