Medicare Part B coverage

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Medicare Part B helps pay for many common types of health care:

  • Doctors' services.
  • Durable medical equipment (DME)1 if your doctor certifies you need it and and you buy or rent it from a Medicare-certified supplier.
  • Ambulance services if your health requires ambulance transport and you are traveling to or from certain locations.
  • Many preventive care services.  
  • Outpatient physical, speech, and occupational therapy services provided by a Medicare-certified physical, speech, or occupational therapist.
  • Chiropractic care when manipulation of the spine is medically necessary to fix a subluxation of the spine. A subluxation is when one or more of the bones of the spine move out of position.
  • Outpatient mental health services.
  • Home health services if and need skilled nursing or therapy services.
  • X-rays and lab tests.
  • A few prescription drugs, such as immunosuppresant drugs, some anti-cancer drugs, some anti-emetic drugs, some dialysis drugs and physician-administered drugs that persons do not usually administer themselves.

Medicare does not cover all health care services. Medicare will only pay for Part B services and items (except most prescription drugs) that are ordered or prescribed by a Medicare-enrolled provider.

This list includes common health care services and items, but it is not a complete list of everything that Part B covers.


1Medicare will only cover durable medical equipment if received from an approved supplier. 


Case Examples
Mr. D was worried that his father-in-law might need Part B to cover rehabilitative care in a nursing facility.

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Medicare coverage of medical equipment

Medicare coverage of preventive care services

When the Medicare home health benefit pays for home health care

Filling gaps in Medicare coverage and getting help with Medicare costs

 
LINKS
Medicare.gov -- Search for Participating Physicians

Medicare.gov -- Original Medicare Coverage Information Finder

Find a Medicare Durable Medical Equipment Supplier (Medicare.gov)

National Directory of Medicare Regional Carriers and Intermediaries

Medicare.gov: National A/B MAC Information

 
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