Your Medicare Coverage

Is my test, item, or service covered?

Medicare Part B (Medical Insurance) covers medically necessary diagnostic and treatment services you get as an outpatient from a Medicare-participating hospital. Covered outpatient hospital services may include:

Emergency or observation services, which may include an overnight stay in the hospital
Services in an outpatient clinic, including same-day surgery
Laboratory tests billed by the hospital
Mental health care in a partial hospitalization program, if a doctor certifies that inpatient treatment would be required without it
X-rays and other radiology services billed by the hospital
Medical supplies, like splints and casts
Preventive and screening services
Certain drugs and biologicals that you wouldn’t usually give yourself

All people with Medicare are covered.

You generally pay 20% of the Medicare-approved amount for the doctor's services.
For all other services, you pay a copayment for each service you get in an outpatient hospital setting.
For some screenings and preventive services, these charges and the Part B deductible don't apply.