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What Procedures Does Medicare Cover?

Medicare covers a number of inpatient and outpatient procedures. Find out if your procedure will be covered by Medicare, how much it may cost and what you can do to get help paying for it.

Medicare covers a number of inpatient and outpatient procedures. Find out if your procedure will be covered by Medicare, how much it may cost and what you can do to get help paying for it.

Procedures Medicare does cover

Medicare Part A and Part B make up what is known as “Original Medicare.”

  • Part A provides coverage for inpatient hospital services.
  • Part B covers outpatient care and durable medical equipment (DME).

Original Medicare coverage typically requires the care to be “medically necessary” in order for it to be covered by Part A or Part B. Certain other restrictions may apply, depending on the procedure you need. 

Depending on the type of service you get and how Medicare covers it, you may face certain deductiblecoinsurance and/or copayment costs.

The services and items below are not necessarily a complete list of procedures that are covered by Original Medicare.

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Click on each item in the list to learn more about how it’s covered by Medicare and how much they may cost. 

Procedures Medicare typically doesn't cover may be covered by some Medicare Advantage plans

Some procedures that aren't typically covered by Original Medicare may sometimes be covered by certain Medicare Advantage (Medicare Part C) plans. Some common services, like hearing aids, aren't covered by Original Medicare. 

All Medicare Advantage plans are required by law to provide all of the same benefits found under Original Medicare.

Check with your Medicare Advantage plan carrier or a licensed insurance agent for help determining which procedures, services and items may be covered by your Medicare Advantage plan or a plan in your area.

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Christian Worstell

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

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Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.

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