Medicare 101
Slider Image 1

Part B helps cover medically necessary:

Doctors’ services – Services that are medically necessary.

Outpatient medical and surgical services and supplies – For approved procedures like X‐rays or stitches.

Clinical laboratory services – Blood tests, urinalysis, and some screening tests.

DME – Like walkers, wheelchairs, and canes.

Diabetic testing equipment and supplies – Blood sugar (glucose) testing monitors, blood sugar test strips, insulin, lancet devices and lancets, blood sugar control solutions, and therapeutic shoes or inserts.

Preventive services – Many exams, tests, screenings, and some shots to prevent, find, or manage a medical problem (like flu shots and a yearly wellness visit).

Home health services – You can use your home health benefits under Part A and/or Part B.

Part B pays for home health care if an inpatient hospital stay doesn’t precede the need for home health care, or when the number of Part A‐covered home health care visits exceed 100.

For more information, visit Medicare.gov/publications to review “Medicare and Home Health Care” (CMS Product No. 10969).

You can also visit https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/home-health-agency-center

Medically necessary outpatient physical and occupational therapy, and speech‐language pathology services. Outpatient mental health care services. Limited number of outpatient prescription drugs under certain conditions – Usually, Part B covers drugs you wouldn’t typically give to yourself, like those you get at a doctor’s office or in a hospital outpatient setting.

To review some examples of Part B‐covered drugs, visit https://www.medicare.gov/coverage/prescription-drugs-outpatient

To find out if Medicare covers a service not on this list, visit Medicare.gov/coverage, or call 1‐800‐MEDICARE (1‐800‐ 633‐4227): TTY 1‐877‐486‐2048.

You can also download the “What’s covered” mobile app. The app is available for free on both the App Store and Google Play.

©AIDE 2024, All rights reserved.