In the US, when you reach 65 years old, you are eligible to receive Medicare health insurance offered by the Federal government. It’s called “Original Medicare”, which consists of Part A covering hospital stays and Part B covering doctor and outpatient visits. What exactly are covered, most people ask. Below is a list of coverage from Medicare website. Please note that Medicare coverage can be different depending on where you live. This list includes those covered and non-covered tests, items and services, that are 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, and ask if Medicare will cover them.
- If you have Medicare Supplement plan, it helps to pay some or all of Part A & B deductibles, copays and coinsurance, but its coverage of tests, items and services are the same as those of the Original Medicare.
- If you have Medicare Advantage (Part C) plan, it may provide additional benefits that Original Medicare does not cover. Please check the evidence of coverage of your specific plan.
Acupuncture Advance care planning Air-fluidized beds Alcohol misuse screenings & counseling Ambulance services Ambulatory surgical centers Anesthesia Artificial eyes & limbs Bariatric surgery Behavioral health integration services Blood Blood processing & handling Blood sugar monitors Blood sugar test strips Bone mass measurements Braces (arm, leg, back, & neck) Breast prostheses Canes Cardiac rehabilitation programs Cardiovascular behavioral therapy Cardiovascular disease screenings Cataract surgery Cervical & vaginal cancer screenings Chemotherapy Chiropractic services Chronic care management services Clinical laboratory tests Clinical research studies Commode chairs Concierge care Continuous passive motion machines Continuous Positive Airway Pressure devices, accessories, & therapy Cosmetic surgery Crutches Defibrillators Dental services Depression screenings Diabetes prevention program Diabetes screenings Diabetes self-management training Diagnostic laboratory tests Diagnostic non-laboratory tests Dialysis (children) Dialysis services & supplies Doctor & other health care provider services Durable medical equipment (DME) coverage EKG or ECG screenings Emergency department services Enteral nutrition supplies & equipment Eye exams Eye exams (for diabetes) Eyeglasses & contact lenses Federally Qualified Health Center (FQHC) services Flu shots Foot care Foot care (for diabetes) Glaucoma tests Glucose control solutions Gym memberships & fitness programs Hearing & balance exams Hearing aids Hepatitis B shots Hepatitis B Virus infection screenings Hepatitis C screening tests HIV screenings Home health services Hospice care Hospital beds Humidifiers Hyperbaric oxygen (HBO) therapy Incontinence supplies & adult diapers Infusion pumps & supplies Inpatient hospital care Insulin Kidney disease education Kidney transplants Kidney transplants (children) Lancet devices & lancets Long-term care Long-term care hospital services Lung cancer screenings Macular degeneration tests & treatment Mammograms Massage therapy Mental health care (inpatient) Mental health care (outpatient) Mental health care (partial hospitalization) Multi-target stool DNA tests Nebulizers & nebulizer medications Nursing home care Nutrition therapy services Obesity screenings & counseling Occupational therapy Orthopedic shoes Osteoporosis drugs Ostomy supplies Outpatient hospital services Outpatient medical & surgical services & supplies Oxygen equipment & accessories Pancreas transplants Patient lifts Physical therapy Pneumococcal shots Prescription drugs (outpatient) Preventive & screening services Prostate cancer screenings Prosthetic devices Pulmonary rehabilitation programs Radiation therapy Religious non-medical health care institution items & services Rural health clinic (RHC) services Screening barium enemas Screening colonoscopies Screening fecal occult blood tests Screening flexible sigmoidoscopies Second surgical opinions Sexually transmitted infections screenings & counseling Shingles shots Skilled nursing facility (SNF) care Sleep studies Smoking & tobacco-use cessation counseling Speech-language pathology services Suction pumps Supplies Surgery Surgical dressing services Swing bed services Tdap shots Telehealth Test by Raj for mobile app Therapeutic continuous glucose monitors (CGMs) Therapeutic shoes or inserts Traction equipment Transitional Care Management Services Transplants Travel Urgently needed care Walkers Wheelchairs & scooters X-rays Yearly “Wellness” visits