Question and Answer

What are medically necessary services and supplies?

Question: 
I know that Medicare only pays for services and supplies it considers medically necessary, but what is meant by medically necessary?

Answer:
Medicare defines medically necessary as services or supplies that:

  • Are proper and needed for the diagnosis, direct care or treatment of your medical condition and
  • Meet the standards of good medical practice in the medical community of your local area.

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