Medicare Part B: Is it covered?

Medicare Part B: Is it covered?

by Kristin P. Sinclair – A Accu Tax – September 1, 2018

what-is-a-fixed-annuityIs your test, item, or service covered?

Medicare coverage for many tests, items and services depends on where you live. This list only includes tests, items and services that are covered no matter where you live. If your test, item or service isn’t listed, talk to your doctor or other health care provider. They can help you understand why you need certain tests, items or services, and if Medicare will cover them.

  • Abdominal aortic aneurysm screening one time test covered by Medicare
  • Advance care planning annual opportunity to review with your Doctor Annual Wellness Visit
  • Air-fluidized beds & other support surfaces When Your Doctor orders such as medical needed
  • Alcohol misuse screening & counseling
  • Ambulance services
  • Ambulatory surgical centers
  • Anesthesia
  • Artificial eyes & limbs
  • Bariatric surgery under certain circumstances
  • Blood after the first thee pints
  • Blood processing & handling
  • Blood sugar (glucose) monitors
  • Blood sugar (glucose) test strips
  • Bone mass measurement (bone density)
  • Braces (arm, leg, back, and neck)
  • Breast prostheses
  • Canes
  • Cardiac rehabilitation programs
  • Cardiovascular disease (behavioral therapy)
  • Cardiovascular disease screenings
  • Cataract surgery
  • Cervical & vaginal cancer screenings
  • Chemotherapy
  • Chiropractic services
  • Chronic care management services
  • Clinical research studies certain studies with cost sharing
  • Colorectal cancer screenings
  • Commode chairs
  • Concierge care
  • Continuous passive motion (CPM) machine
  • Cosmetic surgery for certain situations when medically necessary
  • Crutches
  • Custodial care if it is part of the skilled care your Doctor has determined is medically necessary
  • Defibrillator (implantable automatic)
  • Dental services part of inpatient hospital care when medically necessary
  • Depression screenings
  • Diabetes screenings
  • Diabetes self-management training
  • Diabetes supplies & services
  • Diagnostic tests
  • Dialysis (children)
  • Dialysis (kidney) services & supplies
  • Doctor & other health care provider services
  • Durable medical equipment (DME) coverage
  • EKG or ECG (electrocardiogram) screening
  • Emergency department services
  • Enteral nutrition supplies & equipment (feeding pump)
  • Eye exams
  • Eyeglasses/contact lenses
  • Federally Qualified Health Center Services
  • Flu shots
  • Foot care
  • Foot exam
  • Glaucoma tests
  • Glucose control solutions Well the Medical Community can Guide You, You make the solution.
  • Health education & wellness program an example would be a Cardio Rehab program
  • Hearing & balance exams when determined to be medically necessary
  • Hepatitis B shots
  • Hepatitis C screening test
  • HIV screening
  • Home health services for skilled intermittent care
  • Hospice part of Medicare Part A
  • Hospital beds Durable Medical Equipment
  • Inpatient hospital care Medicare Part A
  • Insulin
  • Kidney disease education
  • Kidney transplants (adults) If the Adult is a Medicare beneficiary Part A and Part B are factors
  • Kidney transplants (children) If the Child is a Medicare beneficiary Part A and Part B are factors
  • Laboratory services (clinical)
  • Lancet devices & lancets
  • Lung cancer screening
  • Macular degeneration eye exam and a few other medical conditions as well, not preventative.
  • Mammograms a schedule exists review with your Health Care Provider for your benefits.
  • Manual wheelchairs & power mobility devices Durable Medical Equipment
  • Mental health care (inpatient) Medicare Part A
  • Mental health care (outpatient) Medicare Part B
  • Mental health care (partial hospitalization)
  • Nebulizers & nebulizer medications Medicare Part D
  • Nursing home care Limited period of time when parameters are met, oop cost sharing exists
  • Obesity screening & counseling
  • Osteoporosis drugs for women
  • Outpatient hospital services Medicare Part B
  • Oxygen equipment & accessories
  • Physical therapy/occupational therapy/speech-language pathology services
  • Pneumococcal shots
  • Prescription drugs (outpatient) Medicare Part D
  • Preventive visit & yearly wellness exams
  • Prostate cancer screenings
  • Prosthetic devices
  • Pulmonary rehabilitation
  • Radiation therapy
  • Second surgical opinions
  • Sexually transmitted infections (STI) screening & counseling
  • Shingles shot Medicare Part D Review with your Insurance provider
  • Shots (vaccinations) Medically necessary Review which are covered with your Medicare Part D
  • Skilled nursing facility (SNF) care Up to 100 Days when parameters are met with cost sharing
  • Sleep apnea & Continuous Positive Airway Pressure (CPAP) devices & accessories
  • Sleep study
  • Smoking & tobacco use cessation (counseling to stop smoking or using tobacco products)
  • Substance-related disorders
  • Surgery (estimating costs)
  • Surgical dressing services
  • TDaP shot (tetanus, diphtheria, & pertussis shot) Medicare Part D
  • Telehealth
  • Therapeutic shoes or inserts For Certain Medical Conditions when Medically Necessay
  • Traction equipment
  • Transitional care management services After Hospitalization under certain situations briefly
  • Urgently needed care
  • Walkers Durable Medical Equipment
  • X-rays

 

This lists shows many, but not all, of the items and services that Medicare might cover..

Medicare.gov has a search engine that you can populate the field with your item to look up and

you can see what is covered by what part of the Medicare system. A, B, D etc. And this search engine can also provide detail as to what is not covered.

 

For more information, view the official medicare.gov website https://www.medicare.gov/

 

Kristin P Sinclair

@Sinclair Financial Solutions

803-329-0615

 

September 1, 2018

Rock Hill, SC 29730