*Remember*
-
Medicare Necessity must be established.
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Must be a Medicare Participating Provier.
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Must be a Medicare Carrier.
Below are some common services and procedures along with the long and short of Medicare Coverage. Beside the service or procedure is the Short Answer as to whether Medicare will cover it based on the rules above. For a more complete explanation inculuding limitations and criteria, click on the service or procedure for a comprehensive and more look.*Limitations and Criteria soon to come!
|
Service or Procedure
|
Short Answer
|
|
Service or Procedure
|
Short Answer |
Alternative
Therapies |
NO |
|
Macular Degeneration |
YES |
Ambulatory
Blood Pressure
Monitoring |
YES |
|
Mammogram Screening |
YES |
Bariatric
Weight
Loss
Surgery |
YES |
|
Medical Nutrition Therapy |
YES |
Bone Mass
Measurement |
YES |
|
Medicare and Dental Plans |
NO |
Cardiovascular
Screening |
YES |
|
Obesity and Weight Loss Coverage |
YES |
Chiropractic
Services |
YES |
|
Oxygen Therapy |
YES |
Colorectal
Cancer
Screening |
YES |
|
Pap Smears and Pelvic Exams |
YES |
Diabetes
Screening |
YES |
|
Prostate Cancer Screenings |
YES |
| Diabetes Self-Management Training |
YES |
|
Routine Eye Care |
NO |
| Diabetic Foot Exam |
YES |
|
Routine Physical Exams |
NO |
| Diabetic Services |
YES |
|
Second Opinions |
YES |
| Dialysis Coverage |
YES |
|
Smoking Cessation |
YES |
| Discount Dental Plans |
YES |
|
Travel Coverage |
YES |
Eye
Refraction |
NO |
|
Urinalysis |
YES |
| Glaucoma Screening |
YES |
|
"Welcome to Medicare" Physical Exam |
YES |
| Hearing Exams and Aids |
NO |
|
Wound Care and Wound Therapy |
YES |