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What does Medicare Part B cover?

Question 2 of 4 (use "Last" or "Next" buttons to see more)
Last Update: August 16, 2010

Medicare Part B helps pay for:

  • Doctors' services.
  • Durable medical equipment (DME) if medical in nature and bought or rented from a Medicare-certified provider.

      For more information on DME, click on the links in the GO TO or LINKS boxes.

  • Ambulance services when the emergency transportation is from your home to the nearest hospital or skilled nursing facility (SNF) that can provide the necessary services, or from a hospital or SNF to your home, or from one facility to another, and any other type of transportation would endanger your health. Medicare Part B also covers paramedic intercept services in rural areas and regularly scheduled, non-emergency transport when your doctor certifies it.
  • Some preventive care services.

      For more information on preventive care services, click on the link in the GO TO box.

  • Outpatient physical, speech, and occupational therapy services provided by a Medicare-certified physical, speech, or occupational therapist.

  • The first three pints of blood you need each year.
  • 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 you are homebound and have a skilled nursing need.
    • For more information on the Medicare home health benefit, click on the link in the GO TO box.

  • X-rays and lab tests.
  • A few prescription drugs, such as immunosuppresant drugs, anti-cancer drugs, anti-emetic drugs, some dialysis drugs and physician-administered drugs that are usually not self-administered.
Medicare does not cover all health care services. Medicare will only pay for Part B services and items (except prescription drugs) that are ordered or prescribed by a Medicare-enrolled provider.
    To learn more about how to fill the gaps in Medicare's coverage, click on the link in the GO TO box.

Case Examples
Medicare denied coverage of an electric scooter because Mr. W’s doctor did not examine him.

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

Related Questions
Does Medicare cover ambulance transport to a doctor's office?

When does Medicare cover eye care?

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GO TO
Can I ever find out before I get a service whether Medicare will pay?

What is durable medical equipment (DME)?

What preventive care services does Medicare cover?

When does the Medicare home health benefit pay for home health care?

How can I get help with my Medicare costs and fill in the gaps in Medicare coverage?

 
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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